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Dr. Kimberly Deppisch , DO

Pediatrics β€’ Spokane, WA

Active NPI 1356847198 Individual Practitioner Female Practitioner
Practice location in NPPES

605 E Holland Ave Ste 101
Spokane, WA 992181246

Call 5093423010 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

605 E Holland Ave Ste 101

Spokane, WA 992181246

Telephone 5093423010
Fax 5097555376
Organization at the Same NPPES Address or Phone
Rockwood Clinic, P.s. Facility NPI 1306362793

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Deppisch has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Deppisch as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Spokane and Washington

76 active clinicians are listed under Pediatrics with a practice address in Spokane, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Spokane

0% of these 76 clinicians have the CMS telehealth indicator.

1.3% of these 76 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA OP61164059

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 58.030193

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20210916003522

Enrollment State Jurisdiction

WA

PECOS Control ID

4880091867

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Jason Crenshaw , PA-C

Physician Assistant

NPI 1104439660

Physician Assistant (Certified)

Dr. Jared Fincher , DO

Family Medicine

NPI 1841931300

Doctor of Osteopathic Medicine (D.O.)

NPI 1972522019

Doctor of Medicine (M.D.)

Kristina Goodman , PA-C

Physician Assistant

NPI 1962983072

Physician Assistant (Certified)

Jade Graff , ARNP, FNP-C

Nurse Practitioner

NPI 1780376061

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Dawn Mattinson , ARNP

Nurse Practitioner - Family

NPI 1598104804

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location May 27, 2024

Registered at 605 E HOLLAND AVE STE 101, SPOKANE, WA 992181246 (Tel: 5093423010)

πŸ“
Updated Business Mailing Address May 27, 2024

Registered at PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 984150299

πŸ“
Updated Business Mailing Address January 04, 2022

Registered at 605 E HOLLAND AVE STE 101, SPOKANE, WA 992181246 (Tel: 5095304863)

πŸ‘€
Provider Name / Credentials Updated January 04, 2022

Recorded as KIMBERLY DEPPISCH, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2022

Pediatrics (license number reported to NPPES: OH 58.030193)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2021

Pediatrics (license number reported to NPPES: WA OP61164059)

πŸ“
Updated Practice Location June 16, 2021

Registered at 605 E HOLLAND AVE, SPOKANE, WA 992182225 (Tel: 5093423010)

πŸ“
Updated Business Mailing Address June 16, 2021

Registered at 1302 E WELDEN DR, SPOKANE, WA 992236361 (Tel: 7199897140)

βœ…
NPI Profile Active April 02, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 02, 2018

Registered at 214 W BOWERY ST, AKRON, OH 443081046 (Tel: 3305431000)

πŸ“
Business Mailing Address (Initial Record) April 02, 2018

Registered at 1013 KENNEDY ST, PUEBLO, CO 810012110 (Tel: 7199897140)

πŸ‘€
Provider Name / Credentials (Initial Record) April 02, 2018

Recorded as KIMBERLY HAMMERNIK, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2018

Pediatrics (license number reported to NPPES: OH 58.030193)

🟒
Initial NPI Registration & Enumeration April 02, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356847198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2018
Last Update: May 27, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Spokane

All Pediatrics Specialists in Spokane

Mailing Address

Po Box 5299, Ms: 820-5-Pco

Tacoma, WA 984150299

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.