Individual provider Active NPI

Anya Marie Milrod Holmquist, NP

  • Nurse Practitioner
  • Ilwaco, WA
National Provider Identifier
1952809808
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61108003 Issued in WA
Practice address
176 1St Ave N
Ilwaco, WA 98624-9137
Phone
(360) 642-3747
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District 3 of Pacific County 25 clinicians

Practice addresses (Care Compare)

167 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-6498

174 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-3181

176 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-3747

PO Box H
Ilwaco, WA 98624

Hospital & facility affiliations

  • Ocean Beach Hospital Hospital, Ilwaco, WA, CCN 501314

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
I20210113003014 WA Practitioner - Nurse Practitioner 5991067340 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District 3 of Pacific County Current Accepting new patients
Public Hospital District 3 of Pacific County CurrentSince Jun 6, 2023 Accepting new patients
Public Hospital District 3 of Pacific County CurrentSince Jun 6, 2023 Accepting new patients

Locations

1501 Bay Ave
Ste 201
Ocean Park, WA 98640
Phone (360) 642-3747

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61108003 WA Primary

Addresses

Primary practice location

176 1St Ave N
Ilwaco, WA 98624-9137

Mailing address

PO Box H
Ilwaco, WA 98624-0258

Other names 1

  • Anya Marie Milrod Former name

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1952809808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX H",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986240258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 1ST AVE N",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "986249137",
            "telephone_number": "360-642-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMQUIST",
        "first_name": "ANYA",
        "middle_name": "MARIE MILROD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61108003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANYA",
            "last_name": "MILROD",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ilwaco, WA

Sources for this page

Verify at the official NPI Registry.