Mare Pallerine, DNP, ARNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61311630 Issued in WA

Practice address

275 SE Cabot Dr Ste B101
Oak Harbor, WA 98277-3740

Phone

(603) 675-6648

Fax

(603) 679-9310

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mariana Nibley Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whidbey Island Public Hospital DistrictGroup PAC ID 1658280680, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariana.nibley@wh.jhie.net

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.

• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Coupeville, WA
  • NPI 1710927231
  Medicare reassignment Care Compare group NPD
• WGH Primary Care Associates, P.S.

  • Family Medicine Physician
  • Oak Harbor, WA
  • NPI 1427229186
  NPD
• Whidbey Island Public Hospital District

  • Surgery Physician
  • Coupeville, WA
  • NPI 1578589610
  NPD
• Whidbey Island Public Hospital District

  • Clinical Social Worker
  • Desert Hot Springs, CA
  • NPI 1518819341
  NPD

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

• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Oak Harbor, WA
  • NPI 1144348228
  Care Compare affiliation
• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Coupeville, WA
  • NPI 1164549549
  Care Compare affiliation
• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Coupeville, WA
  • NPI 1497640445
  Care Compare affiliation
• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Coupeville, WA
  • NPI 1710927231
  Care Compare affiliation
• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Coupeville, WA
  • NPI 1902771728
  Care Compare affiliation
• Whidbey Island Public Hospital District

  • Critical Access Hospital
  • Clinton, WA
  • NPI 1992823595
  Care Compare affiliation

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1992321137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4311",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982040032",
            "telephone_number": "360-240-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR STE B101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773740",
            "telephone_number": "603-675-6648",
            "fax_number": "603-679-9310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5486 Harbor Ave",
            "address_purpose": "LOCATION",
            "city": "Freeland",
            "state": "WA",
            "postal_code": "982493002",
            "country_code": "US",
            "telephone_number": "360-331-5060",
            "fax_number": "360-331-2104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 N Main St",
            "address_purpose": "LOCATION",
            "city": "Coupeville",
            "state": "WA",
            "postal_code": "982399556",
            "country_code": "US",
            "telephone_number": "360-678-0831",
            "fax_number": "360-678-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALLERINE",
        "first_name": "MARE",
        "credential": "DNP, ARNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61311630",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61311630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "NIBLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Edward Otto, DPT
• Kelsey Owen, M.S., BCBA
• Sarah C Owen, ARNP
• Maria Packard
• Cadesha Pacquette
• Laney Palmer Daniel
• Dawn Lyndel Palmer
• Erin E Palmreuter, DDS
• Africa Elvira Pannozzi, LMFT
• Shirley Soeun Park, DDS

• Psychiatric/Mental Health Nurse Practitioner in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.