Individual provider Active NPI

Angelika B Kraus, MD

  • Family Medicine Physician
  • Newport, WA
National Provider Identifier
1801988902
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00042272 Issued in WA
Practice address
714 W Pine St
Newport, WA 99156-9046
Phone
(509) 447-2441
Fax
(509) 447-0456
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00042272 WA Primary

Addresses

Primary practice location

714 W Pine St
Newport, WA 99156-9046

Mailing address

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441

Other identifiers 2

IdentifierTypeStateIssuer
806617400MedicaidID
8360521MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000151 WA Practitioner - Family Practice 6507837721 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pend Oreille County Public Hospital District No 1Group PAC ID 3274431184, shared by 5 NPIs, 31 clinicians

Practice addresses (Care Compare)

1821 Leclerc Rd N
Cusick, WA 99119-5015
Phone (509) 447-7111

1821 N Leclerc Rd
Cusick, WA 99119-5015

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441

Hospital & facility affiliations

  • Eden Home Health Home health agency, Ponderay, ID, CCN 137122
  • Assured Home Health Home health agency, Spokane Valley, WA, CCN 507044
  • Newport Community Hospital Hospital, Newport, WA, CCN 501310
  • Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
  • Newport Community Hospital Nursing home, CCN 50Z310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00042272WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pend Oreille County Public Hospital District No 1 Current Accepting new patients
Pend Oreille County Public Hospital District No 1 Family Medicine CurrentSince Feb 21, 2005 Accepting new patients
Kalispel Indian Community of the Kalispel Reservation Washington Current Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Feb 21, 2005 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Dec 3, 2025 Accepting new patients
Kalispel Indian Community of the Kalispel Reservation Washington CurrentSince Jan 28, 2017 Accepting new patients
Kalispel Tribe-Camas Institute CurrentSince Jan 28, 2017 Accepting new patients
Inland Empire Hospital Services Association Family Medicine Past Accepting new patients
Pend Oreille County Public Hospital District No 1 Family Medicine Past Accepting new patients

Locations

1821 Leclerc Rd N
Ste 1
Cusick, WA 99119
Phone (509) 447-7111

1821 Leclerc Rd N
Cusick, WA 99119
Phone (509) 447-7111

714 W Pine St
Bldg C
Newport, WA 99156
Phone (509) 447-3139

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

Interoperability endpoints

  • Direct secure messaging: angelika.kraus.1@29974.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1801988902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-447-2441",
            "fax_number": "509-447-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-447-2441",
            "fax_number": "509-447-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "ANGELIKA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00042272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806617400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8360521",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, WA

Sources for this page

Verify at the official NPI Registry.