Individual provider Active NPI

David Deichert, ND, ARNP

  • Family Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1982732368
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60178142 Issued in WA
Practice address
12600 SE 38TH St Ste 130
Bellevue, WA 98006-6105
Phone
(425) 679-6056
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT00001426 WA
Family Nurse Practitioner 363LF0000X AP60178142 WA Primary

Addresses

Primary practice location

12600 SE 38TH St Ste 130
Bellevue, WA 98006-6105

Mailing address

20624 SE 119TH St
Issaquah, WA 98027-5402
Phone (206) 795-5760

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
I20120223000128 WA Practitioner - Nurse Practitioner 6901063080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sage Medical GroupGroup PAC ID 1759539836, 4 clinicians

Practice addresses (Care Compare)

12600 SE 38TH St
Suite 130
Bellevue, WA 98006-6105
Phone (425) 679-6056

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
78.83
Promoting interoperability
100
Improvement activities
40
Cost
66.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NT00001426WAMDNaturopath
AP60178142WAMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1982732368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20624 SE 119TH ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275402",
            "telephone_number": "206-795-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST STE 130",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066105",
            "telephone_number": "425-679-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEICHERT",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "ND, ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60178142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.