Individual provider Active NPI

Nikolas Steven Rademaker, FNP

  • Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1144996661
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61215452 Issued in WA
Practice address
1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone
(509) 228-1000
NPI assigned
Aug 17, 2021
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909000003 WA Practitioner - Nurse Practitioner 1658777156 Reassigns benefits to 1 organization
Practice locations: Spokane, WA

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
Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians

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

LicenseStateTypeSpecialty
AP61215452WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Northwest Centers P S CurrentSince Sep 15, 2021 Accepting new patients
Nikolas Steven Rademaker CurrentSince Jan 7, 2025 Accepting new patients
Cancer Care Northwest Centers P S Medical Oncology CurrentSince Sep 15, 2021 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.