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

Q: What is Michelle Bajema's NPI number?

The NPI number for Michelle Bajema is 1760966139. It was assigned to this individual provider in the NPPES registry on September 20, 2018. The provider is also known as Michelle Lea Goff.

Q: What is Michelle Bajema's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Michelle Bajema enrolled in Medicare?

No. Michelle Bajema has opted out of Medicare through March 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Michelle Bajema was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

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: August 16, 2026.

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

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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.

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

Phone(360) 207-5607

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

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Other Names 1

Former Name (1)Michelle Lea Goff

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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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.

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