Hugo De Oliveira, ARNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP60543520 Issued in WA

Practice address

424 Williams St
Mossyrock, WA 98564-9001

Phone

(360) 983-3589

Fax

(360) 925-3180

NPI assigned

Apr 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

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.

• River Valley Community Health LLC

  dba River Valley Community Health

  • Urgent Care Clinic/Center
  • Mossyrock, WA
  • NPI 1558982413
  Authorized official Same address or phone

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1174900237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "MOSSYROCK",
            "state": "WA",
            "postal_code": "985640326",
            "telephone_number": "360-983-3589",
            "fax_number": "360-925-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 WILLIAMS ST",
            "city": "MOSSYROCK",
            "state": "WA",
            "postal_code": "985649001",
            "telephone_number": "360-983-3589",
            "fax_number": "360-925-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE OLIVEIRA",
        "first_name": "HUGO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60543520",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60543520",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP60543520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G9012562",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045063",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Louise Black, SUDPT
• Carol A Boyer, LMP
• Christine M Campbell, RN, FNP-C
• Bonnie Carey, L.AC.,O.M.D.
• Stacy Dagnon, LMP
• Eugenia Center
• Emma Catherine Ferguson, LAC
• Quoc Ho, M.D.
• Diane Marie Hurley, ARNP
• Kevin W McCurry MD (Riffe Medical Center)

• Acute Care Nurse Practitioner in Mossyrock, WA
• Providers in Mossyrock, WA by specialty
• Acute Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.