Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WILDWOOD WELLNESS PLLC
NPI 1619880739
Nurse Practitioner in Everett, WA

Q: What is Wildwood Wellness PLLC's NPI number?

The NPI number for Wildwood Wellness PLLC is 1619880739. It was assigned to this organization in the NPPES registry on September 28, 2026.

Q: What is Wildwood Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 28, 2026

1523 132ND ST SE STE C-1028, EVERETT, WA 98208(425) 332-8312 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Wildwood Wellness Pllc NPPES

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

WILDWOOD WELLNESS PLLC (NPI 1619880739) is a healthcare organization registered as a nurse practitioner in Everett, Washington and active in the NPI registry since September 2026. The organization lists Desiree Ballesteros, Arnp, as its authorized official.

NPPES Registry Identity

NPI1619880739

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameWILDWOOD WELLNESS PLLC

Location Address1523 132ND ST SE STE C-1028Everett, WA 98208-7200

Mailing Address2819 99th Pl SeEverett, WA 98208-2974 · (843) 442-9864

Phone(425) 332-8312

Organization SubpartNo

Authorized OfficialDesiree BallesterosArnp · (425) 332-8312

Enumeration DateSeptember 28, 2026

NPPES CertifiedSeptember 28, 2026

✔ NPI 1619880739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1523 132ND ST SE STE C-1028, Everett, WA 98208

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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 Wildwood Wellness PLLC's NPI number?

The NPI number for Wildwood Wellness PLLC is 1619880739. It was assigned to this organization in the NPPES registry on September 28, 2026.

Where is Wildwood Wellness PLLC located?

Wildwood Wellness PLLC is located at 1523 132nd St SE Ste C-1028, Everett, WA 98208. The listed phone number is (425) 332-8312.

What is Wildwood Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Wildwood Wellness PLLC was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.