Individual provider Active NPI

Anne E Hedger, ACNP, ENP, CPNP-AC

  • Acute Care Nurse Practitioner
  • Brush Prairie, WA
National Provider Identifier
1679761829
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
60486827 Issued in WA
Practice address
17725 NE Baker Creek Rd
Brush Prairie, WA 98606-9556
Phone
(503) 869-3440
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 60486827 WA Primary

Addresses

Primary practice location

17725 NE Baker Creek Rd
Brush Prairie, WA 98606-9556

Mailing address

17725 NE Baker Creek Rd
Brush Prairie, WA 98606-9556
Phone (503) 869-3440

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624003075 WA Practitioner - Nurse Practitioner 3274615851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group Washington LLCGroup PAC ID 7315333838, 6 clinicians

Practice addresses (Care Compare)

2805 NE 129TH St
Vancouver, WA 98686-3324
Phone (360) 787-4092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60486827WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS CurrentSince Mar 10, 2026 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Mar 10, 2026 Accepting new patients
Impact Physician Group, Washington LLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

2529 NE 139th St
Vancouver, WA 98686
Phone 3608822778 ext. 67386

2805 NE 129th St
Vancouver, WA 98686
Phone (360) 356-1890

Interoperability endpoints

  • Direct secure messaging: ahedger126737@oc.providencedirect.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1679761829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17725 NE BAKER CREEK RD",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986069556",
            "telephone_number": "503-869-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17725 NE BAKER CREEK RD",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986069556",
            "telephone_number": "503-869-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGER",
        "first_name": "ANNE",
        "middle_name": "E",
        "credential": "ACNP, ENP, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "60486827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brush Prairie, WA

Sources for this page

Verify at the official NPI Registry.