Active NPI
Valerie B Lodge, FNP
- Nurse Practitioner
- Sequim, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60265142
- Practice address
- 800 N 5TH Ave Ste 101
Sequim, WA 98382-3045 - Phone
- (360) 565-0999
- Fax
- (360) 582-4221
- NPI assigned
- Aug 14, 2012
- Last updated
- Jul 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60265142 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP60265142 | WA |
Addresses
Primary practice location
800 N 5TH Ave Ste 101
Sequim, WA 98382-3045
Mailing address
PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 565-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2041265 | Medicaid | WA |
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 |
|---|---|---|---|---|
| I20150120000016 | WA | Practitioner - Nurse Practitioner | 5496079642 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 W Fairview St
Colfax, WA 99111-9552
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.56 of 100
- Quality
- 80.73
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 74.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 3 of Whitman County | Current | Accepting new patients |
Locations
1200 W Fairview St
Colfax, WA 99111
Phone (509) 397-3435
Interoperability endpoints
- vlodge757353@direct.multicare.org
Organizations & group practices 1
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.
-
dba Whitman Hospital & Medical Center
- Critical Access Hospital
- Colfax, WA
- NPI 1922009448
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pullman Regional Hospital
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
dba Whitman Hospital & Medical Center
- Critical Access Hospital
- Colfax, WA
- NPI 1922009448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1609123298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 850",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620146",
"telephone_number": "360-565-0999",
"fax_number": "360-582-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N 5TH AVE STE 101",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823045",
"telephone_number": "360-565-0999",
"fax_number": "360-582-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LODGE",
"first_name": "VALERIE",
"middle_name": "B",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2023-07-06",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60265142",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60265142",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2041265",
"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 Jul 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.