Active NPI
Andrew Nicholas Nemecek, MD
- Neurological Surgery Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD00045323
- Practice address
- 200 NE Mother Joseph PL Ste 300
Vancouver, WA 98664 - Phone
- (360) 254-6161
- Fax
- (360) 449-1146
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD26582 | OR | |
| Neurological Surgery Physician | 207T00000X | MD00045323 | WA | Primary |
Addresses
Primary practice location
200 NE Mother Joseph PL Ste 300
Vancouver, WA 98664
Mailing address
200 NE Mother Joseph PL Ste 210
Vancouver, WA 98664-3295
Phone (360) 254-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023811 | Medicaid | OR | |
| 1467460923 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 N Ctr Court St
110 Rebound Sports Medicine
Portland, OR 97227-2104
Phone (503) 732-6863
200 NE Mother Joseph PL
300 Rebound Neurosurgery Brain and Spine
Vancouver, WA 98664-3296
Phone (360) 254-6161
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
- Legacy Salmon Creek Medical Center
- Peacehealth St John Medical Center
- Providence Hood River Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 47 |
| Laminectomy or laminotomy (partial removal of spine bones) | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26582 | OR | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Surgical Specialists PC | Current | Accepting new patients | |
| Northwest Surgical Specialists, P.C. | Neurological Surgery | Current | Accepting new patients |
| J and D Physical Therapy Services | Past | Accepting new patients |
Locations
1 N Center Court St
Ste 110
Portland, OR 97227
Phone (503) 732-6863
1 N Center Court St
Ste 11
Portland, OR 97227
Phone (503) 732-6863
200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145
2121 NE 139th St
Ste 300
Vancouver, WA 98686
200 NE Mother Joseph Pl
Ste 300
Vancouver, WA 98664
Phone (360) 256-4060
200 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2990
Interoperability endpoints
- andrew.nemecek.p1@direct.reboundmd.nextgenshare.com
- anemecek21711@reboundmd.gardenplot.direct-ci.com
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.
-
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1730118803
Neurological Surgery, WA
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1821510306
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1134299951
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1467460923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643295",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98664",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMECEK",
"first_name": "ANDREW",
"middle_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OR",
"license": "MD26582",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WA",
"license": "MD00045323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023811",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467460923",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.