Robin H Fontana, ARNP

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

AP30004797 Issued in WA

Practice address

9725 SE 36TH St
Suite 214
Mercer Island, WA 98040

Phone

(206) 275-3588

Fax

(206) 275-2073

NPI assigned

May 12, 2006

Last updated

Dec 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

John H Addison MD PSGroup PAC ID 9335032887, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Evergreenhealth Home Care Services Home health agency, Kirkland, WA, CCN 507079
• Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
• Providence at Home With Compassus, Snohomish County Home health agency, Everett, WA, CCN 507065
• Evergreen Health Hospice Care Hospice, Kirkland, WA, CCN 501523

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John H. Addison MD PS

  dba Northwest Geriatrics

  • Geriatric Medicine (Internal Medicine) Physician
  • Mercer Island, WA
  • NPI 1497706774
  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CP Snohomish County Wa, LLC

  dba Providence at Home with Compassus Hospice Care, Snohomish County

  • Home Health Agency
  • Everett, WA
  • NPI 1720800857
  Care Compare affiliation
• King County Public Hospital District No. 2

  dba EvergreenHealth Hospice Care

  • Community Based Hospice Care Agency
  • Kirkland, WA
  • NPI 1285719609
  Care Compare affiliation
• King County Public Hospital District No. 2

  dba EvergreenHealth Home Care

  • Home Health Agency
  • Kirkland, WA
  • NPI 1588662761
  Care Compare affiliation
• LHCG Lxiii, LLC

  dba Assured Home Health

  • Home Health Agency
  • Mountlake Terrace, WA
  • NPI 1770998528
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1063463321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1526",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "98040",
            "telephone_number": "206-275-3588",
            "fax_number": "206-275-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 SE 36TH ST",
            "address_2": "SUITE 214",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "98040",
            "telephone_number": "206-275-3588",
            "fax_number": "206-275-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "ROBIN",
        "middle_name": "H",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "WA",
            "license": "AP30004797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9627746",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192115",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Fiedler, PHD
• Bruno Fiorentini
• Sean Michael Fisher, MD
• Ashley Fletcher, MSOTR/L
• Susan Marie Fletcher, MSPT, DPT
• Lora R. Ford, PSYD PLLC
• Fred Meyer Stores Inc (QFC Pharmacy #806)
• Debra Jo Fredrikson, RDH
• Douglas W Free
• Miriam Anna Friedman, OTR/L

• Gerontology Registered Nurse in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Gerontology Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.

Verify at the official NPI Registry.