Individual provider Active NPI

Anneliese Kraiger

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoquiam, WA
National Provider Identifier
1285075457
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60385755 Issued in WA
Practice address
205 8TH St
Hoquiam, WA 98550-2507
Phone
(360) 538-9215
Fax
(360) 532-8786
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00009751 WA
Registered Nurse 163W00000X RN60159467 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60385755 WA Primary

Addresses

Primary practice location

205 8TH St
Hoquiam, WA 98550-2507

Mailing address

205 8TH St
Hoquiam, WA 98550-2507
Phone (360) 538-9215

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
I20140204001215 WA Practitioner - Nurse Practitioner 6204065758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health ResourcesGroup PAC ID 7315848660, 7 clinicians

Practice addresses (Care Compare)

205 8TH St
Hoquiam, WA 98550-2507
Phone (306) 704-7170

3857 Martin Way E
Olympia, WA 98506-5268
Phone (360) 236-7114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LH00009751WAMDMental Health Counselor
RN60159467WAMDRegistered Nurse
AP60385755WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Resources CurrentSince Dec 11, 2023 Accepting new patients
Behavioral Health Resources Past Accepting new patients

Locations

3857 Martin Way E
Olympia, WA 98506

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1285075457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 8TH ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502507",
            "telephone_number": "360-538-9215",
            "fax_number": "360-532-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 8TH ST",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502507",
            "telephone_number": "360-538-9215",
            "fax_number": "360-532-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAIGER",
        "first_name": "ANNELIESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00009751",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60159467",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60385755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoquiam, WA

Sources for this page

Verify at the official NPI Registry.