MR. GARRETT CLAY WISTISEN FNP
NPI 1124824370
Nurse Practitioner - Family in Moses Lake, WA

Active since February 19, 2025PECOS EnrolledAccepts Medicare Assignment
1550 S PIONEER WAY STE 100, MOSES LAKE, WA 98837(509) 793-9770 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2026, Feb 19, 2025 (2 updates tracked since 2025).

About Mr. Garrett Clay Wistisen Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARRETT CLAY WISTISEN FNP (NPI 1124824370) is an individual family provider in Moses Lake, Washington, licensed in Washington (AP61662619) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124824370
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. GARRETT CLAY WISTISENCredential: FNP
Location Address1550 S PIONEER WAY STE 100Moses Lake, WA 98837-4637
Mailing Address1616 S Pioneer WayMoses Lake, WA 98837-2487 · (509) 793-9715 · Fax (509) 764-3244
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2025
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1124824370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP61662619
1550 S PIONEER WAY STE 100, Moses Lake, WA 98837

Other Identifiers 1

Medicaid2319106WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Garrett Clay Wistisen Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618491853
PECOS Enrollment IDI20250409000031
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500033
Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
General Practice
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837
Physician Assistant
1550 S PIONEER WAY STE 100
MOSES LAKE, WA 98837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garrett Wistisen's NPI number?

The NPI number for Garrett Wistisen is 1124824370. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Garrett Wistisen located?

Garrett Wistisen practices at 1550 S Pioneer Way Ste 100, Moses Lake, WA 98837. The listed phone number is (509) 793-9770.

What is Garrett Wistisen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Garrett Wistisen enrolled in Medicare?

Yes. Garrett Wistisen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Garrett Wistisen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Garrett Wistisen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Garrett Wistisen affiliated with any hospitals?

According to CMS data, Garrett Wistisen is affiliated with Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Garrett Wistisen was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.