Evergreen Family Clinic PLLC
NPI 1568251239ActiveOrganization· Nurse Practitioner, Family· Federal Way, WA
Nurse Practitioner, Family in Federal Way, Washington, registered in NPPES in May 2025. The authorized official on file is Ken Wamwiri, FNP-C, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568251239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2025 |
| Last updated in NPPES | Dec 26, 2025 |
| Certified by provider | Dec 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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