Active NPI
Barbara L Eisenberg, ARNP
- Family Nurse Practitioner
- North Bend, WA
National Provider Identifier
1548213614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30005985
- 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1710255088
-
- Gerontology Nurse Practitioner
- Snohomish, WA
- NPI 1356469720
-
- Primary Care Clinic/Center
- Lynnwood, WA
- NPI 1164555652
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
NPD (past) NURSE PRACTITIONER -
- Hospitalist Physician
- Las Cruces, NM
- NPI 1972056752
NPD (past) NURSE PRACTITIONER
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.36 of 100
- 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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MH 7 LLC | Current | 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 | Past | Accepting new patients |
Locations
4520 N 12th St
Ste 103
Phoenix, AZ 85014
Phone (520) 370-1492
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30005985 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9636374 | Medicaid | WA | |
| 2160EI | Other | WA | BSWA |
| 0203911 | Other | WA | LIWA |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.