Individual provider Active NPI

Matthew Cecil Maxfield, ARNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lacey, WA
National Provider Identifier
1952132185
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP70011789 Issued in WA
Practice address
4405 7TH Ave SE Ste 100
Lacey, WA 98503-1055
Phone
(360) 338-3757
Fax
(253) 442-6160
NPI assigned
Aug 9, 2024
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 AP70011789 WA Primary
Registered Nurse 163W00000X RN61104712 WA

Addresses

Primary practice location

4405 7TH Ave SE Ste 100
Lacey, WA 98503-1055

Mailing address

4401 Shale St SE
Lacey, WA 98503-2172
Phone (608) 217-3772

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
I20250806002021 WA Practitioner - Nurse Practitioner 7618485954 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN61104712WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Psychiatric Mental Health & Wellness Psychiatric/Mental Health CurrentSince Jul 22, 2025 Accepting new patients
Michelle Bajema, Arnp, LLC PastSince Aug 4, 2024 Accepting new patients

Locations

130 S 3rd St
Shelton, WA 98584
Phone (360) 358-3039

2142 W Railroad Ave
Shelton, WA 98584
Phone (360) 358-1445

221 W Railroad Ave
Ste K
Shelton, WA 98584

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, 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": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1952132185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 SHALE ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032172",
            "telephone_number": "608-217-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 7TH AVE SE STE 100",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031055",
            "telephone_number": "360-338-3757",
            "fax_number": "253-442-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "MATTHEW",
        "middle_name": "CECIL",
        "credential": "ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70011789",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61104712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.