Individual provider Active NPI

Joshua McKinnon, DNP

  • Family Nurse Practitioner
  • East Wenatchee, WA
National Provider Identifier
1487375341
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61550660 Issued in WA
Practice address
900 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone
(509) 884-9000
NPI assigned
Sep 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219108 AR
Family Nurse Practitioner 363LF0000X AP61550660 WA Primary

Addresses

Primary practice location

900 Eastmont Ave
East Wenatchee, WA 98802-6602

Mailing address

600 Orondo Ave
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other practice location 1

940 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 884-9000

Other practice location 2

105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000

Other practice location 3

600 Orondo Ave
Wenatchee, WA 98801-2800
Phone (509) 662-6000

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
I20240812001549 WA Practitioner - Nurse Practitioner 1850839648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Valley Community HealthGroup PAC ID 7113813874, 64 clinicians

Practice addresses (Care Compare)

600 Orondo Ave
Suite 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219108ARMDFamily Nurse Practitioner
AP61550660WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Valley Community Health CurrentSince Sep 17, 2024 Accepting new patients
Columbia Valley Community Health CurrentSince Sep 17, 2024 Accepting new patients

Locations

105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000

940 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000

900 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000

600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575

600 Orondo Ave
Wenatchee, WA 98801
Phone (509) 662-3860

Interoperability endpoints

  • Direct secure messaging: joshua.mckinnon.1@10575.direct.athenahealth.com

Organizations & group practices 2

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1487375341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EASTMONT AVE",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988026602",
            "telephone_number": "509-884-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Eastmont Ave",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "988026602",
            "country_code": "US",
            "telephone_number": "509-884-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S Apple Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "988168810",
            "country_code": "US",
            "telephone_number": "509-682-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Orondo Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012800",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "JOSHUA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "219108",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61550660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.