Individual provider Active NPI

Deborah Marilyn Rogers, ARNP

  • Family Nurse Practitioner
  • Pasco, WA
National Provider Identifier
1831356765
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60017212 Issued in WA
Practice address
2000 N 22ND Ave
Pasco, WA 99301-3370
Phone
(509) 547-2466
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 AP60017212 WA Primary

Addresses

Primary practice location

2000 N 22ND Ave
Pasco, WA 99301-3370

Mailing address

2708 N Rd 97
Pasco, WA 99301
Phone (509) 420-0177

Other practice location 1

2708 Road 97
Pasco, WA 99301-6552
Phone (509) 420-0177

Other practice location 2

2564 Queensgate Dr Ste 2580
Richland, WA 99352-9109
Phone (509) 942-2355

Other identifiers 2

IdentifierTypeStateIssuer
965-7669MedicaidWA
1891262077OtherNPPES

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
I20080826000379 WA Practitioner - Nurse Practitioner 7719052745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
86.28
Promoting interoperability
100
Improvement activities
40
Cost
78.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60017212WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Endoscopy Center, LLC CurrentSince Jan 10, 2020 Accepting new patients
Reliance Medical Clinics, PLLC Current Accepting new patients
Tri-Cities Digestive Health Center, PS CurrentSince Dec 20, 2017 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

8819 W Victoria Ave
Ste 130
Kennewick, WA 99336
Phone (509) 460-5500

1446 Spaulding Ave
Ste 303
Richland, WA 99352
Phone (509) 420-5060

Organizations & group practices 5

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1831356765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 N RD 97",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-420-0177",
            "fax_number": "605-309-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N 22ND AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013370",
            "telephone_number": "509-547-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 Road 97",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993016552",
            "country_code": "US",
            "telephone_number": "509-420-0177",
            "fax_number": "605-309-7978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2564 Queensgate Dr Ste 2580",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993529109",
            "country_code": "US",
            "telephone_number": "509-942-2355",
            "fax_number": "509-222-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DEBORAH",
        "middle_name": "MARILYN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60017212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "965-7669",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1891262077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.