Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annie Chisholm

Individual provider Nurse Practitioner · NPI 1821477365

Annie Chisholm is a Nurse Practitioner in Toppenish, Washington. Qualified in 2014, 12 years ago. Practices with The Wallace Medical Concern, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
12
Licensed in
CA, WA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

510 W 1st Ave
Toppenish, WA 98948-1564
Phone: (509) 865-5600
Fax: (509) 865-5783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 418 Curie Blvd, Philadelphia, PA 19104-4217 — (215) 898-8281

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60583266 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN60579730 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP95002294 (CA)

Record details

NPI number1821477365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 28, 2015
Last updated in NPPESMarch 5, 2018
Mailing address510 W 1st Ave, Toppenish, WA 98948-1564

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice The Wallace Medical Concern — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Toppenish