Northwest Ketamine Clinics PLLC DBA Northwest Healing and Wellness
NPI 1174171458ActiveOrganization· Nurse Anesthetist, Certified Registered· Bellevue, WA
Nurse Anesthetist, Certified Registered in Bellevue, Washington, registered in NPPES in August 2019. The authorized official on file is Allyn Wilcock, CRNA, Owner.
Overview
| NPI | 1174171458 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2019 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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