Active NPI
Joseph Kreilkamp, PAC
- Physician Assistant
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60796437
- Practice address
- 10414 W Highway 2 Ste 10
Spokane, WA 99224-5347 - Phone
- (509) 838-2531
- Fax
- (509) 755-6580
- NPI assigned
- May 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA60796437 | WA | Primary |
Addresses
Primary practice location
10414 W Highway 2 Ste 10
Spokane, WA 99224-5347
Mailing address
PO Box 3649
Spokane, WA 99220-3649
Other practice location 1
19 N 7th St
Cheney, WA 99004-2220
Phone (509) 838-2531
Other practice location 2
725 N Stanley St Ste D
Medical Lake, WA 99022-8939
Phone (509) 838-2531
Other practice location 3
4311 11th Ave NE
Suite 200
Seattle, WA 98105-6366
Phone (206) 616-4001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
300 E 5TH Ave
Spokane, WA 99202-1334
311 S L St
Tacoma, WA 98405-3720
400 E 5TH Ave
Spokane, WA 99202-1334
Phone (509) 838-2531
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
605 E Holland Ave
Spokane, WA 99218-1246
Hospital & facility affiliations
- Assured Home Health
- Centerwell Health Services
- Deaconess Medical Center
- Tacoma General Allenmore Hospital
- Multicare Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Rockwood Clinic PS | Past | Accepting new patients | |
| Multicare Health System | Physician Assistant | Past | Accepting new patients |
Locations
19 N 7th St
Cheney, WA 99004
Phone (509) 235-6151
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
725 N Stanley St
Ste D
Medical Lake, WA 99022
Phone (509) 299-5145
10414 W Highway 2
Ste 10
Spokane, WA 99224
Phone (509) 342-3380
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- jkeilrkamp320832@direct.multicare.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Cardiovascular Disease Physician
- Everett, WA
- NPI 1164185765
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1912252693
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Spokane, WA
- NPI 1184653461
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
-
- Home Health Agency
- Spokane, WA
- NPI 1821396284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003263542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3649",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10414 W HIGHWAY 2 STE 10",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992245347",
"telephone_number": "509-838-2531",
"fax_number": "509-755-6580"
}
],
"practiceLocations": [
{
"address_1": "19 N 7th St",
"address_purpose": "LOCATION",
"city": "Cheney",
"state": "WA",
"postal_code": "990042220",
"country_code": "US",
"telephone_number": "509-838-2531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 N Stanley St Ste D",
"address_purpose": "LOCATION",
"city": "Medical Lake",
"state": "WA",
"postal_code": "990228939",
"country_code": "US",
"telephone_number": "509-838-2531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4311 11th Ave NE",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981056366",
"country_code": "US",
"telephone_number": "206-616-4001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREILKAMP",
"first_name": "JOSEPH",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60796437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.