Active NPI
Elise June Augenstein, M.D.
- Psychiatry Physician
- Moscow, ID
National Provider Identifier
1891715728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 41948
- Practice address
- 804 S Washington St
Suite a
Moscow, ID 83843-3182 - Phone
- (208) 883-6476
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 41948 | WA | Primary |
| Psychiatry Physician | 2084P0800X | M-8575 | ID |
Addresses
Primary practice location
804 S Washington St
Suite a
Moscow, ID 83843-3182
Mailing address
825 SE Bishop Blvd
Suite 401
Pullman, WA 99163-5517
Phone (509) 339-2394
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23913 | Other | WA | GROUP HEALTH COOPERATIVE |
| 8367062 | Medicaid | WA | |
| 911031583 1583AU | Other | WA | ASURIS NORTHWEST HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-8575 | ID | MD | Psychiatry Physician |
| 41948 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients | |
| Public Hospital District #1-a of Whitman County | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Pullman, WA
- NPI 1366446767
-
- Medicare Defined Swing Bed Hospital Unit
- Pullman, WA
- NPI 1750401006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1891715728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 SE BISHOP BLVD",
"address_2": "SUITE 401",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635517",
"telephone_number": "509-339-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 S WASHINGTON ST",
"address_2": "SUITE A",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838433182",
"telephone_number": "208-883-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGENSTEIN",
"first_name": "ELISE",
"middle_name": "JUNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "41948",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M-8575",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH COOPERATIVE",
"identifier": "23913",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8367062",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS NORTHWEST HEALTH",
"identifier": "911031583 1583AU",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.