MICHAEL VIDAL
NPI 1477493948
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 01, 2026PECOS Enrolled
1040 S HENDERSON ST, SEATTLE, WA 98108(855) 289-4503 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Vidal NPPES

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

MICHAEL VIDAL (NPI 1477493948) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477493948
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL VIDAL
Location Address1040 S HENDERSON STSeattle, WA 98108-4720
Mailing Address550 16th Ave Ste 400Seattle, WA 98122-5636
Sole ProprietorNo
Enumeration DateApril 1, 2026
NPPES CertifiedApril 1, 2026
NPI 1477493948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1040 S HENDERSON ST, Seattle, WA 98108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Vidal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1040 S HENDERSON ST
SEATTLE, WA 98108
Nurse Practitioner (Family)
1040 S HENDERSON ST
SEATTLE, WA 98108
Nurse Practitioner (Family)
1040 S HENDERSON ST
SEATTLE, WA 98108
Nurse Practitioner (Family)
1040 S HENDERSON ST
SEATTLE, WA 98108
Clinic/Center (Federally Qualified Health Center (FQHC))
1040 S HENDERSON ST
SEATTLE, WA 98108
Nurse Practitioner (Psychiatric/Mental Health)
1040 S HENDERSON ST
SEATTLE, WA 98108
Counselor
1040 S HENDERSON ST
SEATTLE, WA 98108
Skilled Nursing Facility
1040 S HENDERSON ST
SEATTLE, WA 98108

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 Michael Vidal's NPI number?

The NPI number for Michael Vidal is 1477493948. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Where is Michael Vidal located?

Michael Vidal practices at 1040 S Henderson St, Seattle, WA 98108. The listed phone number is (855) 289-4503.

What is Michael Vidal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Vidal enrolled in Medicare?

Yes. Michael Vidal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Vidal was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.