Patrice Marie Van Duine, ARNP, M.ED, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP30007518 Issued in WA

Practice address

2722 Colby Ave. Ste #328
Everett, WA 98201-3557

Phone

(425) 740-3600

Fax

(425) 740-3601

NPI assigned

Oct 19, 2006

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Patrice Marie Borer Former name

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education, Nurse Practitioner

Practice roles

Locations

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.

• Keep on Dancing Mental Health Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
  • NPI 1184013161
  Medicare reassignment NPD
• Cascade Psychiatric Services, PLLC

  • Specialist
  • Everett, WA
  • NPI 1841293735
  NPD (past)
• Public Hospital Dist No 1 Skagit

  dba Skagit Valley Psychiatic Services

  • Psychiatric Hospital Unit
  • Mount Vernon, WA
  • NPI 1457588386
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1376625590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE STE 328",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013531",
            "telephone_number": "425-740-3600",
            "fax_number": "425-740-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 COLBY AVE. STE #328",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013557",
            "telephone_number": "425-740-3600",
            "fax_number": "425-740-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUINE",
        "first_name": "PATRICE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP, M.ED, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30007518",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "WA",
            "license": "RN00059378",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN00059378",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "RN00059378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT. OF HEALTH",
            "identifier": "AP30007518",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11958223",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9659749",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT. OF HEALTH",
            "identifier": "RN00059378",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "BORER",
            "middle_name": "MARIE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trisha Raelynn Valley, OT/L
• Amanda Vallone
• Juliana Caitlin Van de Krol, NP
• Carolyn Van Der Meulen, OTD, OTR
• Jodie Nicole Van Diest, PHARMD, BCCCP
• Rachel Van Duker, BA
• Karen E Van Hoose, RD CD
• Dustin Van Horn
• Erin Elizabeth Van Nieulande, ARNP
• Amy Sue Van Nortwick

• Psychiatric/Mental Health Nurse Practitioner in Everett, WA
• Providers in Everett, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.

Verify at the official NPI Registry.