MICHELLE LEA BAJEMA ARNP
NPI 1760966139
Nurse Practitioner - Psychiatric/Mental Health in Lacey, WA

Active since September 20, 2018Opted out of Medicare · through Mar 13, 2027
4405 7TH AVE SE, LACEY, WA 98503(360) 207-5607(253) 442-6160 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2024, Mar 4, 2023, Sep 20, 2018 (3 updates tracked since 2018).

About Michelle Lea Bajema Arnp NPPES

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

MICHELLE LEA BAJEMA ARNP (NPI 1760966139) is an individual psychiatric/mental health provider in Lacey, Washington, licensed in Washington (AP60892325) and active in the NPI registry since September 2018. She has opted out of Medicare through March 13, 2027 and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1760966139
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE LEA BAJEMACredential: ARNP
Location Address4405 7TH AVE SELacey, WA 98503-1062
Mailing AddressPo Box 3130Lacey, WA 98509-3130 · (360) 207-5607 · Fax (250) 442-6160
Fax(253) 442-6160
Sole ProprietorNo
Enumeration DateSeptember 20, 2018
Last NPPES UpdateJune 6, 20243 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
NPI 1760966139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · AP60892325
4405 7TH AVE SE, Lacey, WA 98503

Other Names 1

Former Name (1)Michelle Lea Goff

Secondary Practice Location 1

Location 11219 11th Ave SEOlympia, WA 98501-2407 · Phone (360) 207-5607 · Fax (253) 442-6160

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Michelle Lea Bajema Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 13, 2023 through March 13, 2027.

Opt-Out Effective DateMarch 13, 2023
Opt-Out In Effect ThroughMarch 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Counselor
4405 7TH AVE SE
LACEY, WA 98503
Social Worker (Clinical)
4405 7TH AVE SE
LACEY, WA 98503
Social Worker (Clinical)
4405 7TH AVE SE, SUITE 200-2301
LACEY, WA 98503
Clinic/Center (Mental Health (Including Community Mental Health Center))
4405 7TH AVE SE
LACEY, WA 98503
Marriage & Family Therapist
4405 7TH AVE SE
LACEY, WA 98503
Counselor (Mental Health)
4405 7TH AVE SE
LACEY, WA 98503
Nurse Practitioner (Psychiatric/Mental Health)
4405 7TH AVE SE
LACEY, WA 98503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760966139, enumerated as an "individual" on September 20, 2018.

The provider is located at 4405 7TH AVE SE LACEY, WA 98503 and the phone number is (360) 207-5607.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.