Individual provider Active NPI

Andrea Katrina Gucinski, CNM, DNP

  • Advanced Practice Midwife
  • Issaquah, WA
National Provider Identifier
1922280437
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP60967894 Issued in WA
Practice address
751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone
(425) 313-4141
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60242291 WA
Advanced Practice Midwife 367A00000X AP60967894 WA Primary

Addresses

Primary practice location

751 NE Blakely Dr
Issaquah, WA 98029-6201

Mailing address

3240 SE 12TH St Unit 1037
Renton, WA 98058-3890
Phone (206) 777-5617

Other practice location 1

10116 NE 8th St
Bellevue, WA 98004-4148
Phone (425) 454-2468

Other identifiers 1

IdentifierTypeStateIssuer
1922280437MedicaidWA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191030003328 WA Practitioner - Certified Nurse Midwife (CNM) 7012249659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

5350 Tallman Ave NW
Suite 420
Seattle, WA 98107-5902
Phone (206) 781-6080

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP60967894WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Sep 30, 2019 Accepting new patients
Swedish Health Services CurrentSince Sep 30, 2019 Accepting new patients
Swedish Health Services Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

910 N 10th Pl
Renton, WA 98057
Phone (425) 201-5117

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

5350 Tallman Ave NW
Ste 420
Seattle, WA 98107
Phone (206) 781-6080

800 5th Ave
Ste 600
Seattle, WA 98104

Organizations & group practices 4

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1922280437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 SE 12TH ST UNIT 1037",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980583890",
            "telephone_number": "206-777-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "425-313-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10116 NE 8th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044148",
            "country_code": "US",
            "telephone_number": "425-454-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUCINSKI",
        "first_name": "ANDREA",
        "middle_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "CNM, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60242291",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60967894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922280437",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.