Individual provider Active NPI

Robert A Pleyo, ARNP

  • Adult Health Nurse Practitioner
  • Richland, WA
National Provider Identifier
1861631384
Registry record updated Mar 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60053849 Issued in WA
Practice address
900 Stevens Dr Ste 101
Richland, WA 99352
Phone
(509) 942-3163
Fax
(509) 943-5922
NPI assigned
Feb 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60053849 WA
Adult Health Nurse Practitioner 363LA2200X AP60053849 WA Primary

Addresses

Primary practice location

900 Stevens Dr Ste 101
Richland, WA 99352

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 942-3627

Other practice location 1

7211 Deschutes
Suite A
Kennewick, WA 99336
Phone (509) 735-4274

Other practice location 2

7211 Deschutes
Suite A
Kennewick, WA 99336
Phone (509) 735-4274

Other identifiers 1

IdentifierTypeStateIssuer
0258391OtherWALABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090420000289 WA Practitioner - Nurse Practitioner 0244387751 Reassigns benefits to 2 organizations
I20110722000668 OR Practitioner - Nurse Practitioner 0244387751

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

900 Stevens Dr
Suite 101
Richland, WA 99352-3536
Phone (509) 942-3180

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RCCH Trios Health LLC CurrentSince Aug 1, 2018 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Tri-Cities Nephrology, LLC Past Accepting new patients

Locations

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

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

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

Organizations & group practices 4

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 2

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": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1861631384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-942-3627",
            "fax_number": "509-627-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STEVENS DR STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-3163",
            "fax_number": "509-943-5922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Deschutes",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "99336",
            "country_code": "US",
            "telephone_number": "509-735-4274",
            "fax_number": "509-735-3032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Deschutes",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "99336",
            "country_code": "US",
            "telephone_number": "509-735-4274",
            "fax_number": "509-735-3032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLEYO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-05",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60053849",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60053849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0258391",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.