Individual provider Active NPI

Garrett Alan Mockler, MD

  • Family Medicine Physician
  • Lewiston, ID
National Provider Identifier
1205356144
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61033176 Issued in WA
Practice address
2841 Juniper Dr
Lewiston, ID 83501-4719
Phone
(208) 848-9001
Fax
(208) 848-9002
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61033176 WA Primary

Addresses

Primary practice location

2841 Juniper Dr
Lewiston, ID 83501-4719

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-2395

Other practice location 1

Family Medicine Rural Training Program Ctr
Omaha, NE 68198-0001
Phone (402) 559-7200

Other practice location 2

1119 Highland Ave
Clarkston, WA 99403-2836
Phone (509) 758-1450

Other practice location 3

510 W 1st Ave
Toppenish, WA 98948-1564
Phone (509) 865-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address garrett.mockler@tsmh.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200702002125 WA Practitioner - Family Practice 9638443054 Reassigns benefits to 2 organizations
I20200708002176 ID Practitioner - Family Practice 9638443054 Reassigns benefits to 1 organization
I20231004000763 OR Practitioner - Family Practice 9638443054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, shared by 26 NPIs, 274 clinicians

Practice addresses (Care Compare)

3801 Kern Way
Yakima, WA 98902-6340
Phone (509) 574-3200

510 W 1St Ave
Toppenish, WA 98948-1564
Phone (509) 865-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61033176WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Aug 21, 2023 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Aug 18, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 21, 2023 Accepting new patients
Tri-State Memorial Hospital Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Aug 21, 2023 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Aug 18, 2025 Accepting new patients

Locations

2841 Juniper Dr
#2
Lewiston, ID 83501
Phone (208) 848-9001

1522 17th St
Lewiston, ID 83501
Phone (208) 743-8416

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

5125 Skyline Rd S
Salem, OR 97306
Phone (503) 361-5400

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

1119 Highland Ave
Clarkston, WA 99403
Phone (509) 758-1450

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

510 W 1st Ave
Toppenish, WA 98948
Phone (509) 865-5600

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

314 S 11th Ave
Ste A
Yakima, WA 98902
Phone (509) 575-0114

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1205356144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-865-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 JUNIPER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014719",
            "telephone_number": "208-848-9001",
            "fax_number": "208-848-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Family Medicine Rural Training Program Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681980001",
            "country_code": "US",
            "telephone_number": "402-559-7200",
            "fax_number": "402-559-9344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1119 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "994032836",
            "country_code": "US",
            "telephone_number": "509-758-1450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 W 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Toppenish",
            "state": "WA",
            "postal_code": "989481564",
            "country_code": "US",
            "telephone_number": "509-865-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCKLER",
        "first_name": "GARRETT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61033176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garrett.mockler@tsmh.medicity.net",
            "affiliation": "N",
            "address_1": "2841 Juniper Dr",
            "city": "Lewiston",
            "state": "ID",
            "country_code": "US",
            "postal_code": "835014719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.