Active NPI
Nikolas Steven Rademaker, FNP
- Nurse Practitioner
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61215452
- Practice address
- 1204 N Vercler Rd
Spokane Valley, WA 99216-1020 - Phone
- (509) 228-1000
- NPI assigned
- Aug 17, 2021
- Last updated
- Nov 6, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61215452 | WA | Primary |
Addresses
Primary practice location
1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Mailing address
4706 N Conklin Rd
Spokane Valley, WA 99216-1505
Phone (509) 954-9786
Other practice location 1
9103 N Division St
Spokane, WA 99218-1251
Phone (509) 467-6060
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1204 N Vercler Rd
Spokane, WA 99216-1020
9103 N Division St
Spokane, WA 99218-1251
Phone (509) 467-6060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61215452 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Care Northwest Centers P S | Current | Accepting new patients | |
| Nikolas Steven Rademaker | Current | Accepting new patients | |
| Cancer Care Northwest Centers P S | Medical Oncology | Current | Accepting new patients |
Locations
410 E King Ave
Chewelah, WA 99109
Phone (509) 935-8711
982 E Columbia Ave
Colville, WA 99114
Phone (509) 684-2561
1550 S Pioneer Way
Ste 350
Moses Lake, WA 98837
Phone (509) 793-9789
210 W Main Ave
Ritzville, WA 99169
Phone (509) 659-4800
601 S Sherman St
Spokane, WA 99202
Phone (509) 434-1082
605 E Holland Ave
Ste 100
Spokane, WA 99218
Phone (509) 228-1400
605 E Holland Ave
Ste 215
Spokane, WA 99218
Phone (509) 939-5656
1204 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 228-1041
Organizations & group practices 3
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.
-
dba Cancer Care Northwest
- Hematology & Oncology Physician
- Spokane Valley, WA
- NPI 1922072081
Medical Oncology
-
- Non-Pharmacy Dispensing Site
- Spokane, WA
- NPI 1144900705
-
dba Nik Rademaker, DNP-FNP
- Family Nurse Practitioner
- Spokane, WA
- NPI 1194556795
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lincoln Hospital
- Critical Access Hospital
- Davenport, WA
- NPI 1841234598
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
dba Providence Holy Family Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1225289895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1144996661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4706 N CONKLIN RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161505",
"telephone_number": "509-954-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 N VERCLER RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161020",
"telephone_number": "509-228-1000"
}
],
"practiceLocations": [
{
"address_1": "9103 N Division St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992181251",
"country_code": "US",
"telephone_number": "509-467-6060",
"fax_number": "509-467-6518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADEMAKER",
"first_name": "NIKOLAS",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-17",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61215452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
- 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.