Individual provider Active NPI

Theresa Marie Dicroce, MD

  • Family Medicine Physician
  • Oroville, WA
National Provider Identifier
1891721361
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00044218 Issued in WA
Practice address
1617 Main St
Oroville, WA 98844-9380
Phone
(509) 476-3631
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00044218 WA Primary

Addresses

Primary practice location

1617 Main St
Oroville, WA 98844-9380

Mailing address

PO Box 541
Tonasket, WA 98855-0541
Phone (509) 486-1749

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/
Direct Messaging Address TDICROCE17905@EDIRECT.CHEHR.ORG

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000523 WA Practitioner - Family PracticePractitioner - Emergency Medicine 1052361904 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Tufts University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

17 S Western Ave
Tonasket, WA 98855-9270
Phone (509) 663-8711

933 Red Apple Rd
Wenatchee, WA 98801-3370
Phone (509) 663-8711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00044218WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wenatchee Valley Hospital CurrentSince Jul 21, 2013 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Central Washington Health Services Association CurrentSince Jun 1, 2022 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2008 Accepting new patients
Wenatchee Valley Hospital Current Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients

Locations

303 Cottage Ave
Cashmere, WA 98815
Phone (509) 782-1541

840 E Hill Ave
Moses Lake, WA 98837
Phone (509) 764-6400

916 Koala Dr
Omak, WA 98841
Phone (509) 826-1800

1617 Main St
Oroville, WA 98844
Phone (509) 476-3631

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

100 Highline Dr
Wenatchee, WA 98802
Phone (509) 884-0614

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

707 N Emerson Ave
Wenatchee, WA 98801
Phone (509) 662-6109

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

Interoperability endpoints

  • Direct secure messaging: tdicroce17905@edirect.chehr.org

Organizations & group practices 7

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 4

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1891721361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988550541",
            "telephone_number": "509-486-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 MAIN ST",
            "city": "OROVILLE",
            "state": "WA",
            "postal_code": "988449380",
            "telephone_number": "509-476-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICROCE",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "00044218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1617 Main St",
            "city": "Oroville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988449380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TDICROCE17905@EDIRECT.CHEHR.ORG",
            "affiliation": "N",
            "address_1": "1617 Main St",
            "city": "Oroville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988449380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oroville, WA

Sources for this page

Verify at the official NPI Registry.