Individual provider Active NPI

Barbara L Eisenberg, ARNP

  • Family Nurse Practitioner
  • North Bend, WA
National Provider Identifier
1548213614
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30005985 Issued in WA
Practice address
406 Main Ave S
North Bend, WA 98045
Phone
(425) 333-6924
Fax
(425) 333-6909
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.36 of 100Reported as group
Quality
95.72
Improvement activities
40
Cost
55.15

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150518001633 AZ Practitioner - Nurse Practitioner 4284693417 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MH 7 LLC CurrentSince Mar 16, 2015 Accepting new patients
Northwest Physician Associates PC Nurse Practitioner Past Accepting new patients
Northwest Hospital Medicine Physicians LLC Nurse Practitioner Past Accepting new patients
Lynnwood Medical Center, Incorporated, P.S. Past Accepting new patients
In Home Primary Care, PLLC PastSince Aug 27, 2001 Accepting new patients

Locations

4520 N 12th St
Ste 103
Phoenix, AZ 85014
Phone (520) 370-1492

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30005985 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

406 Main Ave S
North Bend, WA 98045

Mailing address

13539 Northshire Rd NW
Seattle, WA 98177-4033
Phone (206) 788-6226

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
9636374MedicaidWA
2160EIOtherWABSWA
0203911OtherWALIWA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2010.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1548213614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13539 NORTHSHIRE RD NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774033",
            "telephone_number": "206-788-6226",
            "fax_number": "206-363-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MAIN AVE S",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "98045",
            "telephone_number": "425-333-6924",
            "fax_number": "425-333-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9636374",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "2160EI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0203911",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, WA

Sources for this page

Verify at the official NPI Registry.