Michael Dewayne Cronquist, FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP 60324274 Issued in WA

Practice address

17110 E Daybreak LN
Spokane Valley, WA 99016-8767

Phone

(509) 475-1347

NPI assigned

Apr 3, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spokane Behavioral Health LLCGroup PAC ID 2961757489, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spokane Behavioral Health LLC

  dba Inland Northwest Behavioral Health

  • Psychiatric Hospital
  • Spokane, WA
  • NPI 1932698107
  Medicare reassignment Care Compare group NPD
• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Multicare Health System

  dba Olympic Sports & Spine

  • Physical Therapist
  • Auburn, WA
  • NPI 1033622311
  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1578806097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 E DAYBREAK LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168767",
            "telephone_number": "509-991-2545",
            "fax_number": "509-420-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 E DAYBREAK LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168767",
            "telephone_number": "509-475-1347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10116 N Lindeke Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992085574",
            "country_code": "US",
            "telephone_number": "509-991-2545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1337 S Grand Blvd # 111",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021136",
            "country_code": "US",
            "telephone_number": "509-993-1300",
            "fax_number": "509-420-9294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONQUIST",
        "first_name": "MICHAEL",
        "middle_name": "DEWAYNE",
        "name_prefix": "Mr.",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP 60324274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime N Crocker, NP
• Maggie Makay Crockett, FNP-C
• Kyle Daniel Croft, OT
• Christine Renae Cronk, LMP
• Bryce Tanner Cronquist, LMP
• Jason Albert Croskrey, MD
• Kelli Croskrey
• Jeffry David Crouch, PHARMD
• Amanda Crow, LMT
• Christine Crowe, LMFT

• Family Nurse Practitioner in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.

Verify at the official NPI Registry.