Active NPI
Eric Matthew Custer, ARNP
- Family Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61407853
- Practice address
- 551 E Hawthorne Rd
Spokane, WA 99218-1417 - Phone
- (509) 489-2369
- NPI assigned
- Feb 6, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61407853 | WA | Primary |
| Nurse Practitioner | 363L00000X | AP61407853 | WA |
Addresses
Primary practice location
551 E Hawthorne Rd
Spokane, WA 99218-1417
Mailing address
5224 E Lane Park CT
Mead, WA 99021-9026
Phone (509) 599-3952
Other practice location 1
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
551 E Hawthorne Rd
Spokane, WA 99218-1417
Phone (509) 489-2369
9420 N Newport Hwy
Suite 103
Spokane, WA 99218-1391
Phone (253) 403-1000
Hospital & facility affiliations
- Prov Sacred HRT Med Ctr & Childs Hosp.
- Deaconess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Spokane Emergency Care Physicians PLLC | Current | Accepting new patients | |
| Multicare Health System | Nurse Practitioner | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
551 E Hawthorne Rd
Spokane, WA 99218
Phone (509) 252-1900
16528 E Desmet Ct
Ste A1200
Spokane Valley, WA 99216
Phone (509) 489-8910
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
- Emergency Medicine Physician
- Spokane, WA
- NPI 1912564055
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1992401368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5224 E LANE PARK CT",
"city": "MEAD",
"state": "WA",
"postal_code": "990219026",
"telephone_number": "509-599-3952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 E HAWTHORNE RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181417",
"telephone_number": "509-489-2369"
}
],
"practiceLocations": [
{
"address_1": "315 Martin Luther King Jr Way",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054234",
"country_code": "US",
"telephone_number": "253-403-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUSTER",
"first_name": "ERIC",
"middle_name": "MATTHEW",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61407853",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61407853",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.