Zachary Lee Deffinbaugh, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

130737 Issued in MT

Practice address

100 W 3Rd Ave # a
Ellensburg, WA 98926-3354

Phone

(509) 388-2345

Fax

(509) 388-0291

NPI assigned

Jun 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zachary.deffinbaugh@68413433118724.direct.elationemr.com

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.

• Ellensburg Family Medicine

  • Family Medicine Physician
  • Ellensburg, WA
  • NPI 1043933831
  NPD
• Mindbody Health and Wellness Clinic

  • Clinic/Center
  • Ellensburg, WA
  • NPI 1558176677
  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1073005443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 3RD AVE # A",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263354",
            "telephone_number": "509-388-2345",
            "fax_number": "509-388-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 3RD AVE # A",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263354",
            "telephone_number": "509-388-2345",
            "fax_number": "509-388-0291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Cochrane Cir # B7500Na",
            "address_purpose": "LOCATION",
            "city": "Fort Carson",
            "state": "CO",
            "postal_code": "809134613",
            "country_code": "US",
            "telephone_number": "406-899-7723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFFINBAUGH",
        "first_name": "ZACHARY",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "130737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyful Pleasant Day
• Mary L Day, MS
• Sarah D Day, M.ED., E.S.A.
• Lawrence Matthew Deats, MS, LMHC
• William Jacob Decker
• Ryder Defranco, MSW
• Breanna Deitschman
• Samantha Nichole Deluna
• Melissa H Denner
• Ty Douglas Denner

• Family Nurse Practitioner in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.