Individual provider Active NPI

Marco Nee Wen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Kirkland, WA
National Provider Identifier
1942245733
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD00031147 Issued in WA
Practice address
12911 120TH Ave NE Ste H210
Kirkland, WA 98034-3065
Phone
(425) 823-4000
Fax
(425) 821-3550
NPI assigned
Jun 17, 2006
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 5460 AK
Physical Medicine & Rehabilitation Physician 208100000X MD00031147 WA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD00031147 WA

Addresses

Primary practice location

12911 120TH Ave NE Ste H210
Kirkland, WA 98034-3065

Mailing address

12911 120TH Ave NE Ste G10
Kirkland, WA 98034-3048
Phone (425) 823-4000

Other practice location 1

901 Boren Ave
Suite 800
Seattle, WA 98104-3595
Phone (206) 323-1900

Other practice location 2

12911 120th Ave NE Ste H120
Kirkland, WA 98034-3062
Phone (425) 823-4226

Other practice location 3

510 8th Ave NE Ste 110
Issaquah, WA 98029-5436
Phone (425) 507-0810

Other practice location 4

8009 S 180th St Ste 105
Kent, WA 98032-1042
Phone (425) 656-0711

Other practice location 5

3101 Northup Way Ste 201
Bellevue, WA 98004-1435
Phone (425) 455-3600

Other practice location 6

3101 Northup Way Ste 102
Bellevue, WA 98004-1435
Phone (425) 507-0810

Other practice location 7

510 8th Ave NE Ste 200
Issaquah, WA 98029-5436
Phone (425) 392-3030

Other identifiers 1

IdentifierTypeStateIssuer
2023406MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040401000807 WA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 7315939063 Reassigns benefits to 1 organization
I20050714000416 AK Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 7315939063 Reassigns benefits to 1 organization
Practice locations: Juneau, AK

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Michigan Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians
Juneau Bone and Joint Center LLCGroup PAC ID 7214038157, 15 clinicians

Practice addresses (Care Compare)

3101 Northup Way
Suite 102
Bellevue, WA 98004-1435
Phone (425) 507-0810

3220 Hospital Dr
Suite 101
Juneau, AK 99801-7899
Phone (907) 364-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00031147WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Jan 1, 2013 Accepting new patients
Proliance Surgeons Inc., P.S. Physical Medicine & Rehabilitation Current Accepting new patients
Pleasants Integrative Health Consultants CurrentSince Jul 28, 2025 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Juneau Bone & Joint Center, LLC. Physical Medicine & Rehabilitation CurrentSince Jul 28, 2025 Accepting new patients
Juneau Aesthetics & Wellness LLC PastSince Sep 14, 2025 Accepting new patients
Orthopedics International LTD. PS PastSince Oct 23, 2007 Accepting new patients
Orthopedics International LTD PS Past Accepting new patients
Juneau Spine and Pain Center LLC PastSince Feb 22, 2010 Accepting new patients

Locations

3220 Hospital Dr
Juneau, AK 99801
Phone (907) 364-2663

3220 Hospital Dr
Ste 101
Juneau, AK 99801
Phone (907) 364-2663

3101 Northup Way
Ste 102
Bellevue, WA 98004
Phone (425) 507-0810

3101 Northup Way
Ste 201
Bellevue, WA 98004
Phone (425) 455-3600

510 8th Ave NE
Ste 110
Issaquah, WA 98029
Phone (425) 507-0810

8009 S 180th St
Ste 105
Kent, WA 98032
Phone (425) 656-0711

12911 120th Ave NE
Ste G10
Kirkland, WA 98034
Phone (425) 481-6301

12911 120th Ave NE
Ste H120
Kirkland, WA 98034
Phone (425) 823-4226

12911 120th Ave NE
Ste H210
Kirkland, WA 98034
Phone (425) 823-4000

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

901 Boren Ave
Ste 900
Seattle, WA 98104
Phone (206) 257-3350

Interoperability endpoints

  • Direct secure messaging: mwen951816@wm.providencedirect.org

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1942245733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE G10",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343048",
            "telephone_number": "425-823-4000",
            "fax_number": "425-821-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE H210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343065",
            "telephone_number": "425-823-4000",
            "fax_number": "425-821-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Boren Ave",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043595",
            "country_code": "US",
            "telephone_number": "206-323-1900",
            "fax_number": "206-323-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12911 120th Ave NE Ste H120",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343062",
            "country_code": "US",
            "telephone_number": "425-823-4226",
            "fax_number": "425-823-4754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 8th Ave NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980295436",
            "country_code": "US",
            "telephone_number": "425-507-0810",
            "fax_number": "425-507-0805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8009 S 180th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980321042",
            "country_code": "US",
            "telephone_number": "425-656-0711",
            "fax_number": "425-656-0344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Northup Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041435",
            "country_code": "US",
            "telephone_number": "425-455-3600",
            "fax_number": "425-455-3920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Northup Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041435",
            "country_code": "US",
            "telephone_number": "425-507-0810",
            "fax_number": "425-507-0805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 8th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980295436",
            "country_code": "US",
            "telephone_number": "425-392-3030",
            "fax_number": "425-392-2564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEN",
        "first_name": "MARCO",
        "middle_name": "NEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AK",
            "license": "5460",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00031147",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WA",
            "license": "MD00031147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023406",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.