NPIMap

Individual provider Active NPI

John A Kremer II, M.D.

  • Family Medicine Physician
  • Chelan, WA
National Provider Identifier
1407829435
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00017439 Issued in WA
Practice address
219 E Johnson Ave
Chelan, WA 98816-9160
Phone
(509) 682-2511
Fax
(186) 639-7863
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-10344 ID
Family Medicine Physician 207Q00000X MD00017439 WA Primary

Addresses

Primary practice location

219 E Johnson Ave
Chelan, WA 98816-9160

Mailing address

PO Box 368
Chelan, WA 98816-0368
Phone (509) 682-2511

Other practice location 1

1000 State St
McCall, ID 83638-3704
Phone (208) 634-2221

Other identifiers 1

IdentifierTypeStateIssuer
1005545MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707001027 WA Practitioner - Family Practice 7416940093 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Star Clinic LLCGroup PAC ID 3375974082, 2 clinicians
Okanogan Douglas County Hospital Dist 1Group PAC ID 7810882792, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

2120 Lawrence St
Port Townsend, WA 98368-7925
Phone (360) 344-8146

507 Hospital Way
Brewster, WA 98812-0019
Phone (509) 689-2517

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00017439WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific County Hospital District 2 Family Medicine CurrentSince Mar 8, 2023 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Apr 1, 2023 Accepting new patients
North Star Clinic LLC CurrentSince Mar 5, 2024 Accepting new patients
Pacific County Hospital District 2 CurrentSince Mar 8, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Sep 1, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Sep 1, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Sep 1, 2022 Accepting new patients
Lake Chelan Clinic, P.C. Current Accepting new patients
Madrona Hill Urgent Care LLC Past Accepting new patients
Madrona Hill Urgent Care, LLC PastSince Nov 1, 2008 Accepting new patients
Mercy Physician Group Inc. Past Accepting new patients

Locations

219 E Johnson Ave
Chelan, WA 98816
Phone (509) 682-2511

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

1136 Water St
Ste 111
Port Townsend, WA 98368
Phone (360) 344-8146

2120 Lawrence St
Port Townsend, WA 98368
Phone (360) 385-3826

Interoperability endpoints

  • Direct secure messaging: john.kremer.ii.1@20609.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13337/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 4

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1407829435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988160368",
            "telephone_number": "509-682-2511",
            "fax_number": "186-639-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E JOHNSON AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988169160",
            "telephone_number": "509-682-2511",
            "fax_number": "186-639-7863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 State St",
            "address_purpose": "LOCATION",
            "city": "McCall",
            "state": "ID",
            "postal_code": "836383704",
            "country_code": "US",
            "telephone_number": "208-634-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMER",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10344",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00017439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelan, WA

Sources for this page

Verify at the official NPI Registry.