Active NPI
Eric P Dudenhofer, ARNP
- Emergency Clinical Nurse Specialist
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Clinical Nurse Specialist
- License
- AP30005374
- 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, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 District
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 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005374 | WA | MD | Emergency Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | Accepting new patients | |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | Accepting new patients | |
| West Plains Chiropractic, PS | Current | Accepting new patients | |
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | Current | Accepting new patients | |
| Stephen William Doggett, M.D. PA | Past | 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
- 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.
-
- Critical Access Hospital
- Grand Coulee, WA
- NPI 1184844185
-
- Family Medicine Physician
- Grand Coulee, WA
- NPI 1265422935
-
dba Coulee Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Grand Coulee, WA
- NPI 1699851840
-
- Chiropractor
- Airway Heights, WA
- NPI 1336283662
-
- Radiation Oncology Physician
- Newport Beach, CA
- NPI 1427281666
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Grand Coulee, WA
- NPI 1184844185
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.