Individual provider Active NPI

Lori A Nelson, ARNP

  • Women's Health Nurse Practitioner
  • Silverdale, WA
National Provider Identifier
1902895428
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP30003851 Issued in WA
Practice address
9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone
(360) 307-7202
Fax
(360) 698-6600
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP30003851 WA Primary

Addresses

Primary practice location

9750 Levin Rd NW
Silverdale, WA 98383-8399

Mailing address

9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone (360) 307-7202

Other identifiers 3

IdentifierTypeStateIssuer
11034883OtherWACAQH
NEL1-0430-4371OtherNATIONAL BOARD CERTIFICATION - NCC
AP30003851OtherWAWA LICENSE ARNP

Other names 1

  • Lori Wheeler 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
I20120924000765 WA Practitioner - Nurse Practitioner 6800855743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kitsap OBGYN PLLCGroup PAC ID 4082925748, 8 clinicians

Practice addresses (Care Compare)

9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone 3606986515133

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30003851WAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. Past Accepting new patients
Womens Clinic of North Idaho Women'S Health Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902895428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 LEVIN RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838399",
            "telephone_number": "360-307-7202",
            "fax_number": "360-698-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 LEVIN RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838399",
            "telephone_number": "360-307-7202",
            "fax_number": "360-698-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30003851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11034883",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD CERTIFICATION - NCC",
            "identifier": "NEL1-0430-4371",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LICENSE ARNP",
            "identifier": "AP30003851",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WHEELER",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.