Andrea Lyn Fellman, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP60968125 Issued in WA

Practice address

Ideal Option Clinic 328 South Stillaguamish Ave
Arlington, WA 98223-1660

Phone

(425) 800-8254

NPI assigned

Jun 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bicycle Health Medical Group PAGroup PAC ID 0244643872, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bicycle Health Medical Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Seattle, WA
  • NPI 1194342162
  Medicare reassignment Care Compare group NPD
• Bicycle Health Provider Group Inc.

  • Addiction Medicine (Family Medicine) Physician
  • San Jose, CA
  • NPI 1356817886
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1912568205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2269",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980362269",
            "telephone_number": "419-705-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IDEAL OPTION CLINIC 328 SOUTH STILLAGUAMISH AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231660",
            "telephone_number": "425-800-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLMAN",
        "first_name": "ANDREA",
        "middle_name": "LYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60968125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://idealoption.net/arlington/",
            "affiliation": "N",
            "endpointDescription": "addiction medicine clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient medical information",
            "address_1": "Ideal Option Clinic 328 South Stillaguamish Ave",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982231660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary P Evans, PTA, BS, LMP, CHP
• Sarah M. Evans, ARNP
• Karen Lee Everett, D.D.S
• Shawnna Failla, LMT
• Sarah Kae Faragher, MA60504644
• Annaka C Femrite, R.D.
• Lindsey Jo Fenstermaker, RN, BSN, CCRN
• Hannah Fisher
• Jennifer Flake
• Joshua William Fleegel, OD

• Primary Care Nurse Practitioner in Arlington, WA
• Providers in Arlington, WA by specialty
• Primary Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.