Individual provider Active NPI

Eric P Dudenhofer, ARNP

  • Emergency Clinical Nurse Specialist
  • Spokane, WA
National Provider Identifier
1114088457
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Clinical Nurse SpecialistTaxonomy code 364SE0003X
License
AP30005374 Issued in WA
Practice address
820 S McClellan St
Suite 426
Spokane, WA 99204-2446
Phone
(509) 456-8444
Fax
(509) 455-9227
NPI assigned
Dec 12, 2006
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Clinical Nurse Specialist 364SE0003X AP30005374 WA Primary

Addresses

Primary practice location

820 S McClellan St
Suite 426
Spokane, WA 99204-2446

Mailing address

6831 Hwy 291
Tumtum, WA 99034
Phone (509) 456-8444

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000647 WA Practitioner - Nurse Practitioner 5698867042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas, Grant, Lincoln and Okanogan Counties Public Hospital DistrictGroup PAC ID 9335050285, shared by 5 NPIs, 40 clinicians

Practice addresses (Care Compare)

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30005374WAMDEmergency Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Jul 1, 2015 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Jul 22, 2015 Accepting new patients
West Plains Chiropractic, PS CurrentSince Jan 15, 2017 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Jul 1, 2015 Accepting new patients
Stephen William Doggett, M.D. PA PastSince Jun 1, 2008 Accepting new patients

Locations

12727 W 14th Ave
Airway Hgts, WA 99001
Phone (509) 244-4818

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

Interoperability endpoints

  • Direct secure messaging: dudenhe@cmccares.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1114088457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 HWY 291",
            "city": "TUMTUM",
            "state": "WA",
            "postal_code": "99034",
            "telephone_number": "509-456-8444",
            "fax_number": "509-455-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MCCLELLAN ST",
            "address_2": "SUITE 426",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042446",
            "telephone_number": "509-456-8444",
            "fax_number": "509-455-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDENHOFER",
        "first_name": "ERIC",
        "middle_name": "P",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "WA",
            "license": "AP30005374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.