Alyssa M Sponhauer, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201350073NP Issued in OR

Practice address

1631 Woods CT
Suite 103
Hood River, OR 97031-2916

Phone

(541) 386-2300

Fax

(541) 436-4113

NPI assigned

Apr 19, 2013

Last updated

Apr 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Columbia Medical CenterGroup PAC ID 3779487251, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid-Columbia Medical Center

  dba Adventist Health Columbia Gorge

  • General Practice Physician
  • The Dalles, OR
  • NPI 1053409599
  Medicare reassignment Care Compare group NPD
• Columbia Gorge Medical Center PC

  dba Columbia Gorge Family Medicine

  • Clinic/Center
  • Hood River, OR
  • NPI 1558346064
  Medicare reassignment NPD
• Icco, LLC

  dba BestMed

  • Urgent Care Clinic/Center
  • Eugene, OR
  • NPI 1407004757
  Medicare reassignment NPD
• Columbia Gorge Medical Center PC

  dba Columbia Gorge Family Medicine

  • Rural Health Clinic/Center
  • Hood River, OR
  • NPI 1821364944
  NPD
• Healthcare for the Mid-Columbia Region

  • Emergency Medicine Physician
  • The Dalles, OR
  • NPI 1497797856
  NPD
• Icco LLC

  dba BestMed

  • Rural Health Clinic/Center
  • Florence, OR
  • NPI 1740896547
  NPD
• Icco, LLC

  dba BestMed

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1992861611
  NPD
• Mid-Columbia Medical Center

  dba Adventist Health Columbia Gorge

  • Rural Health Clinic/Center
  • The Dalles, OR
  • NPI 1154351336

  Family

  NPD
• Mid-Columbia Medical Center

  dba Adventist Health Columbia Gorge

  • Urology Physician
  • The Dalles, OR
  • NPI 1164735478
  NPD

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

• Mid-Columbia Medical Center

  dba Adventist Health Columbia Gorge

  • Critical Access Hospital Clinic/Center
  • The Dalles, OR
  • NPI 1306842752
  Care Compare affiliation

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1821432923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 WOODS CT",
            "address_2": "SUITE 103",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312916",
            "telephone_number": "541-386-2300",
            "fax_number": "541-436-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 WOODS CT",
            "address_2": "SUITE 103",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312916",
            "telephone_number": "541-386-2300",
            "fax_number": "541-436-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONHAUER",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201350073NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan M Sova, MD
• Spa Remedease, LLC (Spa Remedease)
• Kevin J Spangenberg, LMT
• Natalie Ann Speck, MD
• Matthew Sperry, MD
• Maureen A Sprague, MS RD CDE
• Marla M St. John, D.C.
• Jennifer Lou Stager, FNP ARNP RN MS
• Mark A Stanfield, PHARM.D.
• Ann M Stanley, DPT

• Family Nurse Practitioner in Hood River, OR
• Providers in Hood River, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.