Active NPI
Raxita N/a Neupane, DNP
- Family Nurse Practitioner
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95017768
- Practice address
- 11234 Anderson St
Loma Linda, CA 92354-2804 - Phone
- (909) 558-8367
- NPI assigned
- Sep 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61321620 | WA | |
| Family Nurse Practitioner | 363LF0000X | 95017768 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Mailing address
11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-8367
Other practice location 1
89 Breaker Ln
Port Ludlow, WA 98365-9766
Phone (360) 437-5067
Other practice location 2
294843 US Highway 101
Quilcene, WA 98376-9800
Phone (360) 385-3991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95017768 | Other | CA | BOARD OF REGISTERED NURSING |
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
- Group practices
Practice addresses (Care Compare)
1200 W Sims Way
Port Townsend, WA 98368-3031
Phone (360) 385-6297
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200
89 Breaker LN
Port Ludlow, WA 98365-9766
Phone (360) 437-5067
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Past | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Past | Accepting new patients |
Locations
89 Breaker Ln
Port Ludlow, WA 98365
Phone (360) 437-5067
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330
Interoperability endpoints
- rneupane142699@direct.llu.edu
- rneupane2642427@wm.providencedirect.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.
-
dba Jefferson Healthcare
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
dba Jefferson Healthcare Sheridan Clinic
- Rural Health Clinic/Center
- Port Townsend, WA
- NPI 1902850753
-
dba South County Medical Clinic
- Rural Health Clinic/Center
- Quilcene, WA
- NPI 1780897074
-
dba Jefferson Healthcare Port Ludlow Clinic
- Rural Health Clinic/Center
- Port Ludlow, WA
- NPI 1801188073
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Olympic Medical Center
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
dba Jefferson Healthcare Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
dba Jefferson Healthcare
- Home Health Agency
- Port Townsend, WA
- NPI 1346210366
-
dba Jefferson Healthcare
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
dba Sleep Medicine, Jefferson Healthcare
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1235800095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-8367"
}
],
"practiceLocations": [
{
"address_1": "89 Breaker Ln",
"address_purpose": "LOCATION",
"city": "Port Ludlow",
"state": "WA",
"postal_code": "983659766",
"country_code": "US",
"telephone_number": "360-437-5067",
"fax_number": "360-437-4158",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "294843 US Highway 101",
"address_purpose": "LOCATION",
"city": "Quilcene",
"state": "WA",
"postal_code": "983769800",
"country_code": "US",
"telephone_number": "360-385-3991",
"fax_number": "360-765-3811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUPANE",
"first_name": "RAXITA",
"middle_name": "N/A",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61321620",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95017768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTERED NURSING",
"identifier": "95017768",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.