Individual provider Active NPI

Margie Carol Neely, CNM ARNP

  • Advanced Practice Midwife
  • Everett, WA
National Provider Identifier
1982964912
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP60240768 Issued in WA
Practice address
916 Pacific Ave FL 2
Everett, WA 98201-4147
Phone
(425) 303-6500
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP60240768 WA Primary

Addresses

Primary practice location

916 Pacific Ave FL 2
Everett, WA 98201-4147

Mailing address

PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983

Other practice location 1

1 E Main St Ste 100
Auburn, WA 98002-4905
Phone (425) 690-3480

Other identifiers 2

IdentifierTypeStateIssuer
2021761MedicaidWA
AP60240768OtherWAWSL

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
I20121107000073 WA Practitioner - Certified Nurse Midwife (CNM) 5294986956 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60240768WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan County Public Hospital District No. 3 CurrentSince Jan 11, 2023 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Jan 11, 2023 Accepting new patients
Valley Medical Group-Renton Advanced Practice Midwife CurrentSince Jun 1, 2018 Accepting new patients

Locations

1 E Main St
Ste 100
Auburn, WA 98002
Phone (253) 939-9654

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

529 Jasmine St
Omak, WA 98841
Phone (509) 826-1600

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

Organizations & group practices 3

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1982964912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-366-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 PACIFIC AVE FL 2",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014147",
            "telephone_number": "425-303-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980024905",
            "country_code": "US",
            "telephone_number": "425-690-3480",
            "fax_number": "425-690-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "MARGIE",
        "middle_name": "CAROL",
        "credential": "CNM ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60240768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021761",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WSL",
            "identifier": "AP60240768",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.