Individual provider Active NPI

W. Jeanne Parker, FNP-BC

  • Family Nurse Practitioner
  • Walla Walla, WA
National Provider Identifier
1902160559
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60297383 Issued in WA
Practice address
55 W Tietan St
Walla Walla, WA 99362-4445
Phone
(509) 525-3720
Fax
(509) 522-1592
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 1163 ID
Family Nurse Practitioner 363LF0000X AP60297383 WA Primary

Addresses

Primary practice location

55 W Tietan St
Walla Walla, WA 99362-4445

Mailing address

705 N Harvey LN
Eagle
Eagle, ID 83616-5339
Phone (208) 866-1265

Other practice location 1

1225 SE Commercial Dr
College Place, WA 99324-9721
Phone (509) 946-7646

Other practice location 2

705 N Harvey Ln
Eagle
Eagle, ID 83616-5339
Phone (208) 866-1265

Other names 1

  • W Jeanne Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127001027 WA Practitioner - Nurse Practitioner 0143454371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care and Medical Centers PSGroup PAC ID 7618865775, 19 clinicians

Practice addresses (Care Compare)

1225 SE Commercial Dr
College Place, WA 99324-9721
Phone (509) 516-1101

55 W Tietan St
Walla Walla, WA 99362-4445
Phone 50952537201405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 1163IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Sep 30, 2013 Accepting new patients
Physicians Immediate Care & Medical Centers, P.S. CurrentSince Dec 15, 2025 Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Sep 30, 2013 Accepting new patients
Walla Walla Clinic, Inc. Current Accepting new patients
Northwest Healthcare and Wellness Center, PLLC Past Accepting new patients

Locations

1225 SE Commercial Dr
College Place, WA 99324
Phone (509) 516-1101

3601 Plaza Way
Kennewick, WA 99338
Phone (509) 236-0391

1516 Jadwin Ave
Richland, WA 99354
Phone (509) 946-1695

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
  • Direct secure messaging: w.parker.1@28594.direct.athenahealth.com

Organizations & group practices 5

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1902160559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N HARVEY LN",
            "address_2": "EAGLE",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165339",
            "telephone_number": "208-866-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W TIETAN ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624445",
            "telephone_number": "509-525-3720",
            "fax_number": "509-522-1592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 SE Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "College Place",
            "state": "WA",
            "postal_code": "993249721",
            "country_code": "US",
            "telephone_number": "509-946-7646",
            "fax_number": "509-946-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 N Harvey Ln",
            "address_2": "Eagle",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836165339",
            "country_code": "US",
            "telephone_number": "208-866-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "W.",
        "middle_name": "JEANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP 1163",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60297383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "MILLER",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.