Individual provider Active NPI

Jean M Wessel, ARNP

  • Family Nurse Practitioner
  • Darrington, WA
National Provider Identifier
1891775664
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30006120 Issued in WA
Practice address
5318 Chief Brown LN
Darrington, WA 98241-9420
Phone
(360) 436-2210
Fax
(360) 436-2226
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN00046951 WA
General Practice Registered Nurse 163WG0000X RN00046951 WA
Community Health Nurse Practitioner 363LC1500X AP30006120 WA
Family Nurse Practitioner 363LF0000X AP30006120 WA Primary
Primary Care Nurse Practitioner 363LP2300X AP30006120 WA

Addresses

Primary practice location

5318 Chief Brown LN
Darrington, WA 98241-9420

Mailing address

5318 Chief Brown LN
Darrington, WA 98241-9420
Phone (360) 436-2210

Other identifiers 2

IdentifierTypeStateIssuer
9512KEOtherWAREGENCE BLUESHIELD
9645573MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN00046951WAMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sauk-Suiattle Indian Tribe PastSince Sep 8, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1891775664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 CHIEF BROWN LN",
            "city": "DARRINGTON",
            "state": "WA",
            "postal_code": "982419420",
            "telephone_number": "360-436-2210",
            "fax_number": "360-436-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 CHIEF BROWN LN",
            "city": "DARRINGTON",
            "state": "WA",
            "postal_code": "982419420",
            "telephone_number": "360-436-2210",
            "fax_number": "360-436-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSEL",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN00046951",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN00046951",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "WA",
            "license": "AP30006120",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006120",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30006120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "9512KE",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9645573",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darrington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.