IndividualActive
Michelle Fodczuk
NPI 1417642562 · Case Management Registered Nurse · Bonney Lake, WA
Michelle Fodczuk is a Case Management Registered Nurse provider in Bonney Lake, WA (NPI 1417642562).
Provider details
- NPI number
- 1417642562
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN0119006 (WA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4926 N Island Dr E
Bonney Lake, WA 98391-8608
Phone: (425) 365-6968
Fax: (425) 386-5065
Street-level locationGet directions
Mailing address
4926 N Island Dr E
Bonney Lake, WA 98391-8608
Registry dates
- Enumerated
- 2023-04-05
- Last updated
- 2023-04-05
- Certified
- 2023-04-05
Frequently asked questions
- What is Michelle Fodczuk's NPI number?
- Michelle Fodczuk's National Provider Identifier (NPI) is 1417642562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Fodczuk's specialty?
- Michelle Fodczuk is listed in the NPPES registry with a primary specialty of Case Management Registered Nurse (Nursing Service Providers).
- Where is Michelle Fodczuk located?
- Michelle Fodczuk's practice location on file with NPPES is 4926 N Island Dr E, Bonney Lake, WA 98391-8608.
- What is Michelle Fodczuk's phone number?
- The practice phone number listed in the NPPES registry for Michelle Fodczuk is (425) 365-6968.
- Is Michelle Fodczuk's NPI active?
- Yes — Michelle Fodczuk's NPI (1417642562) is active in the NPPES registry as of the last update on 2023-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.