Individual provider Active NPI

Andrea Munder, ARNP

  • Nurse Practitioner
  • Pasco, WA
National Provider Identifier
1801287529
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60769409 Issued in WA
Practice address
7505 Sandifur Pkwy Ste 103
Pasco, WA 99301-8062
Phone
(833) 411-5469
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7654 AZ
Family Nurse Practitioner 363LF0000X TAP7654 AZ
Family Nurse Practitioner 363LF0000X AP60769409 WA
Nurse Practitioner 363L00000X AP60769409 WA Primary

Addresses

Primary practice location

7505 Sandifur Pkwy Ste 103
Pasco, WA 99301-8062

Mailing address

7505 Sandifur Pkwy Ste 103
Pasco, WA 99301-8062

Other practice location 1

3172 N Swan Rd
Tucson, AZ 85712-1227
Phone (520) 795-8777

Other practice location 2

3345 39th St S Ste 1
Fargo, ND 58104
Phone (509) 222-1275

Other practice location 3

8508 W Gage Blvd Ste A101
Kennewick, WA 99336-8106
Phone (877) 522-1275

Other identifiers 1

IdentifierTypeStateIssuer
2085145MedicaidWA

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
I20170915003016 WA Practitioner - Nurse Practitioner 7719204221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCCH Trios Health LLCGroup PAC ID 5799035416, 65 clinicians

Practice addresses (Care Compare)

7201 W Grandridge Blvd
Suite 100
Kennewick, WA 99336-6709
Phone (509) 221-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8859MNMDPhysical Therapist
AP60769409WAMDNurse Practitioner
TAP7654AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Forsythe, DO, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Health First Urgent Care, PLLC CurrentSince Jan 3, 2025 Accepting new patients
Health First Urgent Care, PLLC CurrentSince Jan 3, 2025 Accepting new patients
RCCH Trios Health LLC CurrentSince Mar 9, 2020 Accepting new patients
Radia Inc P S Past Accepting new patients
600 Stewart Medical Group, P.C. PastSince Jan 27, 2022 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients

Locations

7201 W Grandridge Blvd
Ste 100
Kennewick, WA 99336
Phone (509) 221-6900

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

7201 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 221-5520

1031 N Kellogg St
Kennewick, WA 99336
Phone (509) 460-1065

5426 Road 68
Ste D
Pasco, WA 99301

4605 Road 68
Pasco, WA 99301
Phone (509) 300-1500

37 Columbia Point Dr
Richland, WA 99352
Phone (509) 300-1500

Interoperability endpoints

  • Direct secure messaging: andrea.roberts.1@18485.direct.athenahealth.com

Organizations & group practices 7

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": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1801287529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 SANDIFUR PKWY STE 103",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 SANDIFUR PKWY STE 103",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018062",
            "telephone_number": "833-411-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3172 N Swan Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121227",
            "country_code": "US",
            "telephone_number": "520-795-8777",
            "fax_number": "520-795-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3345 39th St S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "58104",
            "country_code": "US",
            "telephone_number": "509-222-1275",
            "fax_number": "509-491-3031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8508 W Gage Blvd Ste A101",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993368106",
            "country_code": "US",
            "telephone_number": "877-522-1275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDER",
        "first_name": "ANDREA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP7654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60769409",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60769409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085145",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.