Marcus Eric Kuypers, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00019561 Issued in WA

Practice address

104 S.First, Suite B
La Conner, WA 98257-0840

Phone

(360) 466-2251

Fax

(360) 466-5673

NPI assigned

Sep 22, 2006

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Texas Medical School at Houston, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific County Hospital District 2Group PAC ID 8224939301, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willapa Harbor Hospital Hospital, South Bend, WA, CCN 501303

Merit-based Incentive Payment System (MIPS)

Final score

83.64 of 100Reported as group

Quality

78.29

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Pacific County Hospital District 2

  • Critical Access Hospital
  • South Bend, WA
  • NPI 1295708683
  Medicare reassignment Care Compare group NPD
• Grant County Public Hospital District 2

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quincy, WA
  • NPI 1659445468
  Medicare reassignment NPD
• Northwest Emergency Physicians LLC

  • Emergency Medicine Physician
  • Arlington, WA
  • NPI 1235172370
  Medicare reassignment NPD
• Okanogan Douglas County Hospital Dist 1

  • Critical Access Hospital
  • Brewster, WA
  • NPI 1205942257
  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Washington PLLC

  • Emergency Medicine Physician
  • Sedro Woolley, WA
  • NPI 1629532064
  Medicare reassignment NPD
• Sunnyside Emergency Group a Professional LLC

  • Emergency Medicine Physician
  • Sunnyside, WA
  • NPI 1033529367
  Medicare reassignment NPD
• Okanogan Douglas County Hospital Dist1

  • Critical Access Hospital
  • Brewster, WA
  • NPI 1578649794

  Emergency Medicine

  NPD
• Pacific County Hospital District 2

  • Rural Health Clinic/Center
  • South Bend, WA
  • NPI 1760582522
  NPD
• DHHS IHS Phoenix Area

  • Federal Public Health Clinic/Center
  • Havasu Lake, CA
  • NPI 1396022026
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pacific County Hospital District 2

  • Critical Access Hospital
  • South Bend, WA
  • NPI 1295708683
  Care Compare affiliation

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699875443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "address_2": "104 S. FIRST, SUITE B",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982570840",
            "telephone_number": "360-466-2251",
            "fax_number": "360-466-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S.FIRST, SUITE B",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982570840",
            "telephone_number": "360-466-2251",
            "fax_number": "360-466-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYPERS",
        "first_name": "MARCUS",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00019561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8265431",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Johnson, PA-C
• Laura Lynne Kasayuli, RDH
• Latoya Evangelyn Kaubin, SUDPT
• Whitney Ingrid Will Keith, MA, MFTA MHCA
• Lisa Cathleen Kieneker, MD
• La Conner Drug Store
• La Conner Health and Wellness LLC
• La Conner School District
• Charles Evert Larsson, M.D.
• Michael Lawrence

• Emergency Medicine Physician in La Conner, WA
• Providers in La Conner, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.