Active NPI
Michaela Fallon
- Family Medicine Physician
- Port Angeles, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61456779
- Practice address
- 240 W Front St Ste a
Port Angeles, WA 98362-2609 - Phone
- (360) 452-7891
- Fax
- (360) 452-8087
- NPI assigned
- Apr 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61456779 | WA | Primary |
Addresses
Primary practice location
240 W Front St Ste a
Port Angeles, WA 98362-2609
Mailing address
240 W Front St Ste a
Port Angeles, WA 98362-2609
Phone (360) 452-7891
Other practice location 1
747 Broadway
Seattle, WA 98122-4307
Phone (206) 320-2000
Other practice location 2
2710 Crimson Way
Richland, WA 99354-1671
Phone (206) 450-5658
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Washington State University Elson S Floyd College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 W Front St
Suite a
Port Angeles, WA 98362-2609
Phone (360) 452-7891
Hospital & facility affiliations
- Olympic Medical Home Health
- Olympic Medical Center
- Forks Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61456779 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Olympic Healthcare Network | Current | Accepting new patients | |
| North Olympic Healthcare Network | Current | Accepting new patients | |
| Clallam County Public Hospital District 2 | Past | Accepting new patients |
Locations
933 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432
240 W Front St
Ste A
Port Angeles, WA 98362
Phone (360) 452-7891
1026 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432
Interoperability endpoints
- mfallon1131481@wm.providencedirect.org
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.
-
- Federally Qualified Health Center (FQHC)
- Port Angeles, WA
- NPI 1154702264
-
- Federally Qualified Health Center (FQHC)
- Port Angeles, WA
- NPI 1639036924
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- Home Health Agency
- Port Angeles, WA
- NPI 1437259165
-
- Critical Access Hospital
- Forks, WA
- NPI 1891879680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1992326268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W FRONT ST STE A",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983622609",
"telephone_number": "360-452-7891",
"fax_number": "360-452-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W FRONT ST STE A",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983622609",
"telephone_number": "360-452-7891",
"fax_number": "360-452-8087"
}
],
"practiceLocations": [
{
"address_1": "747 Broadway",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981224307",
"country_code": "US",
"telephone_number": "206-320-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2710 Crimson Way",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993541671",
"country_code": "US",
"telephone_number": "206-450-5658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALLON",
"first_name": "MICHAELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-28",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61456779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.