Individual provider Active NPI

Modeline Jules, ARNP

  • Family Nurse Practitioner
  • Auburn, WA
National Provider Identifier
1952876294
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60899437 Issued in WA
Practice address
125 3Rd St NE Ste 403
Auburn, WA 98002
Phone
(253) 804-3483
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60899437 WA Primary

Addresses

Primary practice location

125 3Rd St NE Ste 403
Auburn, WA 98002

Mailing address

125 3Rd St NE Ste 403
Auburn, WA 98002-4035
Phone (253) 804-3483

Other practice location 1

26828 Maple Valley Black Diamond Rd SE Ste 175
Maple Valley, WA 98038-8309
Phone (206) 446-0122

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
I20190304002075 WA Practitioner - Nurse Practitioner 1850630120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Schumer MD PSGroup PAC ID 1456313337, 2 clinicians

Practice addresses (Care Compare)

125 3Rd St NE
Suite 201
Auburn, WA 98002-4035
Phone (253) 804-3483

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Auburn Medical Center Hospital, Auburn, WA, CCN 500015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60899437WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Schumer MD PS CurrentSince Feb 1, 2019 Accepting new patients

Locations

125 3rd St NE
Ste 403
Auburn, WA 98002
Phone (253) 804-3483

202 N Division St
#Two
Auburn, WA 98001
Phone (253) 804-3483

125 3rd St NE
Ste 201
Auburn, WA 98002
Phone (206) 833-4050

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1952876294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 3RD ST NE STE 403",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024035",
            "telephone_number": "253-804-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 3RD ST NE STE 403",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98002",
            "telephone_number": "253-804-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26828 Maple Valley Black Diamond Rd SE Ste 175",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980388309",
            "country_code": "US",
            "telephone_number": "206-446-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULES",
        "first_name": "MODELINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60899437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.