Active NPI
Reeshma S Mohammed, MSN, FNP-BC
- Gerontology Nurse Practitioner
- Prosser, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP70040793
- Practice address
- 355 Chardonnay Ave
Prosser, WA 99350-9521 - Phone
- (509) 781-6366
- Fax
- (509) 781-6367
- NPI assigned
- Dec 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201603125NP-PP | OR | |
| Nurse Practitioner | 363L00000X | NP-13808 | OH | |
| Family Nurse Practitioner | 363LF0000X | AP125593 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 201603125NP-PP | OR | |
| Gerontology Nurse Practitioner | 363LG0600X | AP70040793 | WA | Primary |
Addresses
Primary practice location
355 Chardonnay Ave
Prosser, WA 99350-9521
Mailing address
PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617
Other practice location 1
1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-7830
Other practice location 2
3181 SW Sam Jackson Park Rd # L586
Division of Hematology & Medical Oncology
Portland, OR 97239
Phone (503) 494-8534
Other practice location 3
5050 NE Hoyt St Ste 610
Portland, OR 97213-2985
Phone (503) 467-4761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Martha'S Vineyard Hospital Inc
Practice addresses (Care Compare)
1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone 508693041079525
355 Chardonnay Ave
Prosser, WA 99350-9521
Phone (509) 781-6366
Hospital & facility affiliations
- Trios Health
- Astria Sunnyside Hospital
- Kadlec Regional Medical Center
- Providence St Vincent Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.5 of 100
- Quality
- 71.52
- Promoting interoperability
- 95.57
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.42 of 100
- Quality
- 62.19
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 61.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-13808 | OH | MD | Nurse Practitioner |
| AP125593 | TX | MD | Family Nurse Practitioner |
| 201603125NP-PP | OR | MD | Gerontology Nurse Practitioner |
| AP70040793 | WA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Family | Current | Accepting new patients |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Marion Area Physicians LLC | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients |
Locations
Dept L3652
Columbus, OH 43260
1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
2925 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-4949
Interoperability endpoints
- rmohammed3850520@oc.providencedirect.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.
-
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1679521637
-
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1407289184
Family
-
- Clinic/Center
- Yakima, WA
- NPI 1609395060
-
- Cardiovascular Disease Physician
- Sunnyside, WA
- NPI 1871986455
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
-
- Critical Access Hospital
- Sunnyside, WA
- NPI 1225033814
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1063758100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989440719",
"telephone_number": "509-837-1617",
"fax_number": "509-837-4908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 CHARDONNAY AVE",
"city": "PROSSER",
"state": "WA",
"postal_code": "993509521",
"telephone_number": "509-781-6366",
"fax_number": "509-781-6367"
}
],
"practiceLocations": [
{
"address_1": "1000 McKinley Park Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "OH",
"postal_code": "433026399",
"country_code": "US",
"telephone_number": "740-383-7830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3181 SW Sam Jackson Park Rd # L586",
"address_2": "Division of Hematology & Medical Oncology",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97239",
"country_code": "US",
"telephone_number": "503-494-8534",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5050 NE Hoyt St Ste 610",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132985",
"country_code": "US",
"telephone_number": "503-467-4761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMMED",
"first_name": "REESHMA",
"middle_name": "S",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-18",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "201603125NP-PP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP-13808",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP125593",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OR",
"license": "201603125NP-PP",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP70040793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prosser, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.