Individual provider Active NPI

Angela Mohr, ARNP

  • Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1982303905
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61410001 Issued in WA
Practice address
7325 W Deschutes Ave Ste D
Kennewick, WA 99336-6705
Phone
(509) 940-3376
Fax
(509) 593-1813
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 AP61410001 WA Primary

Addresses

Primary practice location

7325 W Deschutes Ave Ste D
Kennewick, WA 99336-6705

Mailing address

7325 W Deschutes Ave Ste D
Kennewick, WA 99336-6705
Phone (509) 940-3376

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
I20230403002189 WA Practitioner - Nurse Practitioner 4183099203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7325 W Deschutes Ave
Suite D
Kennewick, WA 99336-6705
Phone (509) 940-3376

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Dermatology, LLC Nurse Practitioner CurrentSince Mar 6, 2023 Accepting new patients
Renew Dermatology CurrentSince Oct 7, 2024 Accepting new patients
James F. Robinson, M.D., P.C. PastSince Nov 1, 2024 Accepting new patients

Locations

7325 W Deschutes Ave
Ste D
Kennewick, WA 99336
Phone (509) 940-3376

309 Bradley Blvd
Ste 205
Richland, WA 99352
Phone (509) 713-7331

Organizations & group practices 3

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1982303905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 W DESCHUTES AVE STE D",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366705",
            "telephone_number": "509-940-3376",
            "fax_number": "509-593-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 W DESCHUTES AVE STE D",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366705",
            "telephone_number": "509-940-3376",
            "fax_number": "509-593-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "ANGELA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61410001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.