Henning Pforte, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00041816 Issued in WA

Practice address

1400 E. Kincaid St.
Skagit Regional Clinics
Mount Vernon, WA 98274-4127

Phone

(360) 428-2501

Fax

(360) 428-2596

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alpha Home Health Home health agency, Everett, WA, CCN 507107
• Hospice of the Northwest Hospice, Mount Vernon, WA, CCN 501505
• Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
• Cascade Valley Hospital Hospital, Arlington, WA, CCN 500060
• Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hpforte15841@skagit.direct-ci.com

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.

• Public Hospital Dist No 1 Skagit

  • General Practice Physician
  • Mount Vernon, WA
  • NPI 1023332749
  Medicare reassignment Care Compare group NPD
• Public Hospital Dist No 1 Skagit

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1811460652
  NPD
• Public Hospital Dist No 1 Skagit

  • Specialist
  • Mount Vernon, WA
  • NPI 1629012463
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glacier Peak Healthcare, Inc.

  • Home Health Agency
  • Everett, WA
  • NPI 1518482215
  Care Compare affiliation
• Peacehealth

  • Critical Access Hospital
  • Sedro Woolley, WA
  • NPI 1144664954
  Care Compare affiliation
• Public Hospital Dist No 1 Skagit

  • General Acute Care Hospital
  • Mount Vernon, WA
  • NPI 1053357244
  Care Compare affiliation
• Public Hospital Dist No 1 Skagit

  • General Acute Care Hospital
  • Arlington, WA
  • NPI 1073566246
  Care Compare affiliation
• Skagit Hospice Services L L C

  • Community Based Hospice Care Agency
  • Mount Vernon, WA
  • NPI 1174693139
  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1386600716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E. KINCAID ST.",
            "address_2": "ATTN: CREDENTIALING",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-428-2500",
            "fax_number": "360-428-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E. KINCAID ST.",
            "address_2": "SKAGIT REGIONAL CLINICS",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-428-2501",
            "fax_number": "360-428-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFORTE",
        "first_name": "HENNING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "263662",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8354573",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Mae Peterson, OTR/L
• Sherry Lee Peterson, ARNP
• Linda E Pettit, BA, CLN II
• Felicia M Petty, REGISTERED COUNSELOR
• Joan Pfeiffer, RD
• Daniel Pham, MD
• Ken Luong Pham
• Phoenix Recovery House
• Phoenix Recovery Services, LLC
• Phoenix Recovery Services, LLC

• Family Medicine Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.