Individual provider Active NPI

Lincoln Jon Westfall, D.O.

  • Family Medicine Physician
  • Sunnyside, WA
National Provider Identifier
1235390337
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP60107448 Issued in WA
Practice address
803 E Lincoln Ave
Sunnyside, WA 98944-2383
Phone
(509) 837-6911
Fax
(509) 837-6920
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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 OP60107448 WA Primary

Addresses

Primary practice location

803 E Lincoln Ave
Sunnyside, WA 98944-2383

Mailing address

503 E Highland Ave
Chelan, WA 98816-8631
Phone (509) 682-3300

Other identifiers 2

IdentifierTypeStateIssuer
09281980OtherWIFE'S BIRTHDATE
WESTFLJ239KFOtherWADRIVER'S LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210105000357 WY Practitioner - Family Practice 4183894728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Carbon CountyGroup PAC ID 9638067176, shared by 3 NPIs, 38 clinicians

Practice addresses (Care Compare)

300 3Rd St
Rawlins, WY 82301-5612
Phone (307) 324-8494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Carbon County Current Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jan 4, 2021 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jan 4, 2021 Accepting new patients

Locations

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Interoperability endpoints

  • Direct secure messaging: lwestfall@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1235390337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 E HIGHLAND AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168631",
            "telephone_number": "509-682-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E LINCOLN AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442383",
            "telephone_number": "509-837-6911",
            "fax_number": "509-837-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTFALL",
        "first_name": "LINCOLN",
        "middle_name": "JON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60107448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WIFE'S BIRTHDATE",
            "identifier": "09281980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "WESTFLJ239KF",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.