Individual provider Active NPI

Nicole Wrayann Storlie, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1942573969
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60909283 Issued in WA
Practice address
12503 SE Mill Plain Blvd Ste 123
Vancouver, WA 98684-4007
Phone
(360) 334-9942
Fax
(425) 242-3683
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60909283 WA Primary
Community Health Registered Nurse 163WC1500X RN 60203300 WA

Addresses

Primary practice location

12503 SE Mill Plain Blvd Ste 123
Vancouver, WA 98684-4007

Mailing address

PO Box 2689
Wenatchee, WA 98807-2689
Phone (095) 426-4790

Other practice location 1

1200 Chesterly Dr Ste 100
Yakima, WA 98902-7339
Phone (509) 426-4790

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
I20190123004086 WA Practitioner - Nurse Practitioner 4183961535 Reassigns benefits to 1 organization
Practice locations: Yakima, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Mental HealthGroup PAC ID 6103248851, 6 clinicians

Practice addresses (Care Compare)

12503 SE Mill Plain Blvd
Suite 123
Vancouver, WA 98684-4007
Phone (360) 334-9942

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 60203300WAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Mental Health Psychiatric/Mental Health CurrentSince Feb 24, 2025 Accepting new patients
Joy Psychiatric Services, PLLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

12503 SE Mill Plain Blvd
Ste 123
Vancouver, WA 98684
Phone (360) 334-9942

1705 S 24th Ave
Ste B
Yakima, WA 98902
Phone (509) 961-2170

1200 Chesterly Dr
Ste 100
Yakima, WA 98902
Phone (360) 334-9942

Organizations & group practices 2

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1942573969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2689",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988072689",
            "telephone_number": "095-426-4790",
            "fax_number": "509-554-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD STE 123",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844007",
            "telephone_number": "360-334-9942",
            "fax_number": "425-242-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Chesterly Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989027339",
            "country_code": "US",
            "telephone_number": "509-426-4790",
            "fax_number": "509-554-5597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORLIE",
        "first_name": "NICOLE",
        "middle_name": "WRAYANN",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60909283",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "RN 60203300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.