Individual provider Active NPI

Erik Nathaniel Kinzer, ARNP

  • Family Nurse Practitioner
  • Shoreline, WA
National Provider Identifier
1831334028
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60062307 Issued in WA
Practice address
15230 15TH Ave NE
Shoreline, WA 98155-7130
Phone
(206) 361-3097
NPI assigned
Dec 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60062307 WA Primary

Addresses

Primary practice location

15230 15TH Ave NE
Shoreline, WA 98155-7130

Mailing address

15230 15TH Ave NE
Shoreline, WA 98155-7130
Phone (206) 361-3097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20130123000051 MT Practitioner - Nurse Practitioner 4981742855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCL Health Medical Group-Butte LLCGroup PAC ID 2466633102, 109 clinicians

Practice addresses (Care Compare)

400 S Clark St
Butte, MT 59701-2328
Phone (406) 495-7260

435 S Crystal St
Butte, MT 59701-1506

Hospital & facility affiliations

  • St James Hospital Hospital, Butte, MT, CCN 270017
  • Deer Lodge Medical Center Hospital, Deer Lodge, MT, CCN 271314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group-Butte LLC CurrentSince May 18, 2013 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince May 18, 2013 Accepting new patients
Careplus Medical Centers, Inc Past Accepting new patients

Locations

435 S Crystal St
Ste 200
Butte, MT 59701
Phone (406) 496-3480

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

1100 Hollenbeck Ln
Deer Lodge, MT 59722
Phone (406) 846-1722

Organizations & group practices 3

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 3

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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1831334028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557130",
            "telephone_number": "206-361-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557130",
            "telephone_number": "206-361-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZER",
        "first_name": "ERIK",
        "middle_name": "NATHANIEL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60062307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.