Active NPI
Ashley Megan Demaline
- Gerontology Nurse Practitioner
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP60190843
- Practice address
- 11820 Northup Way
Suite E226
Bellevue, WA 98005-1946 - Phone
- (206) 552-6992
- Fax
- (206) 829-9660
- NPI assigned
- Nov 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP60190843 | WA | Primary |
Addresses
Primary practice location
11820 Northup Way
Suite E226
Bellevue, WA 98005-1946
Mailing address
PO Box 557
Mercer Island, WA 98040-0557
Phone (206) 552-6992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
75-5995 Kuakini Hwy
Suite 213
Kailua Kona, HI 96740-2120
Phone (808) 638-3343
Hospital & facility affiliations
- Kona Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koa Clinic, Inc | Current | Accepting new patients | |
| Kirkland Primary Care | Past | Accepting new patients | |
| Hewitt Patient Services | Past | Accepting new patients | |
| Deichert Integrative Health LLC | Past | Accepting new patients |
Locations
75-5995 Kuakini Hwy
Ste 445
Kailua Kona, HI 96740
Phone (808) 315-8466
75-5995 Kuakini Hwy
Ste 213
Kailua Kona, HI 96740
Phone (808) 365-2297
Interoperability endpoints
- ashley.demaline@233545743663108.direct.elationemr.com
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.
-
- Clinic/Center
- Kailua Kona, HI
- NPI 1528576436
-
- Family Nurse Practitioner
- Bellevue, WA
- NPI 1235406877
-
- Adult Health Nurse Practitioner
- Bellevue, WA
- NPI 1396088340
-
- Primary Care Clinic/Center
- Kirkland, WA
- NPI 1245574789
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kealakekua, HI
- NPI 1952332991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1689976813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 557",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980400557",
"telephone_number": "206-552-6992",
"fax_number": "206-829-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 NORTHUP WAY",
"address_2": "SUITE E226",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051946",
"telephone_number": "206-552-6992",
"fax_number": "206-829-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMALINE",
"first_name": "ASHLEY",
"middle_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-19",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP60190843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.