Active NPI
Andrea Ann Eickelmann, DNP, ARNP, FNP-C
- Family Nurse Practitioner
- Sequim, WA
National Provider Identifier
1508323171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61206617
- Practice address
- 808 N 5TH Ave
Sequim, WA 98382-3045 - Phone
- (360) 683-5900
- Fax
- (360) 582-4800
- NPI assigned
- Mar 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61206617 | WA | Primary |
Addresses
Primary practice location
808 N 5TH Ave
Sequim, WA 98382-3045
Mailing address
808 N 5TH Ave
Sequim, WA 98382-3045
Phone (360) 683-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP61206617 | Other | WA | WASHINGTON DEPARTMENT OF HEALTH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211027002647 | WA | Practitioner - Nurse Practitioner | 4789072562 | 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
- Jamestown S'Klallam Tribe
Practice addresses (Care Compare)
808 N 5TH Ave
Sequim, WA 98382-3045
Phone (360) 683-5900
Hospital & facility affiliations
- Olympic Medical Home Health
- Olympic Medical Center
- Jefferson Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61206617 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamestown S'Klallam Tribe | Current | Accepting new patients | |
| Jamestown S'Klallam Tribe | Current | Accepting new patients |
Locations
526 S 9th Ave
Sequim, WA 98382
Phone (360) 681-7755
808 N 5th Ave
Sequim, WA 98382
Phone (360) 582-4840
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Sequim, WA
- NPI 1528809761
-
- Federally Qualified Health Center (FQHC)
- Sequim, WA
- NPI 1023195161
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Sequim, WA
- NPI 1104901941
-
- Federally Qualified Health Center (FQHC)
- Sequim, WA
- NPI 1932957453
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
Hospital
-
- Home Health Agency
- Port Angeles, WA
- NPI 1437259165
-
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
Hospital
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
Hospital
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1508323171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 N 5TH AVE",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823045",
"telephone_number": "360-683-5900",
"fax_number": "360-582-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 N 5TH AVE",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823045",
"telephone_number": "360-683-5900",
"fax_number": "360-582-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICKELMANN",
"first_name": "ANDREA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DNP, ARNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-01",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61206617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON DEPARTMENT OF HEALTH",
"identifier": "AP61206617",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.