Loan Thuy Retchless , NP
Nurse Practitioner โข Tacoma, WA
4301 S Pine St Ste 301
Tacoma, WA 984097206
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 8, 2006; this date does not establish years in practice.
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Published CMS data list 1,881 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J0897 โ Injection, denosumab, 1 mg: 1,200 service units.
- 85025 โ Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count: 154 service units.
- 99214 โ Established patient outpatient office visit: 118 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 13 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 226 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Letrozole โ 31 prescription fills, including refills.
- Metoprolol Tartrate โ 24 prescription fills, including refills.
- Oxycodone Hcl โ 23 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Tacoma, WA (2024, 58 clinicians with data). Median for this group: 292. Middle half: 130 to 803.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: 234. Middle half: 84 to 502.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 466 in 2021 to 1,881 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
4301 S Pine St Ste 301
Tacoma, WA 984097206
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Puyallup, WA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Kaiser Foundation Health Plan Of Washington. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2001
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
101 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $53,000 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $38,924 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
302 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$496,297 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,173.55 across 25 records.
By nature of payment
- Food and Beverage: $1,173.55 across 25 records.
Reporting-company totals (3 largest of 10)
- BeOne Medicines USA, Inc.: $285.03 across 3 records.
- Bristol Myers Squibb Company: $162.99 across 5 records.
- Stemline Therapeutics Inc.: $146.17 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Loan Retchless 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.
Can order Medicare-covered services
CMS lists Loan Retchless 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Tacoma and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Tacoma, WA (2024, 58 clinicians with data). Median for this group: 292. Middle half: 130 to 803.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: 234. Middle half: 84 to 502.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Tacoma, WA (2024, 58 clinicians with data). Median for this group: $21,627. Middle half: $10,106 to $63,777.
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $18,362. Middle half: $7,179 to $35,594.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Tacoma, WA (2024, 58 clinicians with data). Median for this group: $15,249. Middle half: $7,122 to $45,291.
A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $13,803. Middle half: $5,221 to $25,979.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Tacoma, WA (2024, 72 clinicians with data). Median for this group: 153. Middle half: 52 to 624.
Close to the middle for clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Tacoma, WA (2024, 72 clinicians with data). Median for this group: $5,406. Middle half: $620 to $60,649.
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: $11,694. Middle half: $1,114 to $110,470.
158 active clinicians are listed under Nurse Practitioner with a practice address in Tacoma, WA (2,310 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tacoma
13.9% of these 158 clinicians have the CMS telehealth indicator.
44.3% of these 158 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 304% from 466 in 2021 to 1,881 in 2024.
- 2021: 466
- 2022: 2,152
- 2023: 652
- 2024: 1,881
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Medicare-allowed amount
Medicare-allowed amount increased 329% from $12,340 in 2021 to $53,000 in 2024.
- 2021: $12,340
- 2022: $39,942
- 2023: $31,436
- 2024: $53,000
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Paid by Medicare
Paid by Medicare increased 292% from $9,922 in 2021 to $38,924 in 2024.
- 2021: $9,922
- 2022: $30,032
- 2023: $23,782
- 2024: $38,924
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 56% from 510 in 2020 to 226 in 2024.
- 2020: 510
- 2021: 702
- 2022: 443
- 2023: 238
- 2024: 226
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30-day fills
30-day fills decreased 64% from 839 in 2020 to 302 in 2024.
- 2020: 839
- 2021: 991
- 2022: 655
- 2023: 326
- 2024: 302
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Part D drug cost
Part D drug cost varied from year to year: $537,811 in 2020 and $496,297 in 2024.
- 2020: $537,811
- 2021: $387,770
- 2022: $103,943
- 2023: $221,684
- 2024: $496,297
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 78% from $5,337.87 in 2021 to $1,173.55 in 2025.
- 2021: $5,337.87
- 2022: $5,212.25
- 2023: $5,731.52
- 2024: $4,015.24
- 2025: $1,173.55
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 25 records totaling $1,173.55.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| BeOne Medicines USA, Inc. |
Food and Beverage
In-kind items and services
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TEVIMBRA | General | $133.08 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Vyloy | General | $129.71 |
| BeOne Medicines USA, Inc. |
Food and Beverage
In-kind items and services
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TEVIMBRA | General | $128.54 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
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Monjuvi | General | $125.00 |
| Stemline Therapeutics Inc. |
Food and Beverage
In-kind items and services
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Orserdu | General | $123.79 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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OPDIVO | General | $121.48 |
| ADC THERAPEUTICS AMERICA, INC. |
Food and Beverage
Cash or cash equivalent
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ZYNLONTA | General | $104.24 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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EMRELIS | General | $95.22 |
| TAIHO ONCOLOGY, INC. |
Food and Beverage
In-kind items and services
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LONSURF | General | $26.01 |
| BeOne Medicines USA, Inc. |
Food and Beverage
In-kind items and services
|
BRUKINSA | General | $23.41 |
| Stemline Therapeutics Inc. |
Food and Beverage
In-kind items and services
|
ELZONRIS | General | $19.71 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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OPDUALAG | General | $18.98 |
| TAIHO ONCOLOGY, INC. |
Food and Beverage
In-kind items and services
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LONSURF | General | $17.91 |
| Novocure Inc. |
Food and Beverage
Cash or cash equivalent
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Optune Lua (NovoTTF-200T) | General | $15.66 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
BLENREP | General | $14.14 |
| TAIHO ONCOLOGY, INC. |
Food and Beverage
In-kind items and services
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LONSURF | General | $13.80 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Vyloy | General | $8.47 |
| ADC THERAPEUTICS AMERICA, INC. |
Food and Beverage
Cash or cash equivalent
|
ZYNLONTA | General | $8.20 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
OPDIVO | General | $7.91 |
| ADC THERAPEUTICS AMERICA, INC. |
Food and Beverage
Cash or cash equivalent
|
ZYNLONTA | General | $7.65 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Vyloy | General | $7.35 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
OPDIVO | General | $7.32 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
OPDUALAG | General | $7.30 |
| ADC THERAPEUTICS AMERICA, INC. |
Food and Beverage
Cash or cash equivalent
|
ZYNLONTA | General | $6.00 |
| Stemline Therapeutics Inc. |
Food and Beverage
In-kind items and services
|
ELZONRIS | General | $2.67 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J0897
Injection, denosumab, 1 mg
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1,200 | 12 | $64.00 | $25.17 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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154 | 84 | $29.00 | $7.49 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
118 | 77 | $391.20 | $105.58 |
|
36415
Insertion of needle into vein for collection of blood sample
|
109 | 64 | $9.00 | $8.43 |
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80053
Blood test, comprehensive group of blood chemicals
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92 | 61 | $39.00 | $10.35 |
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96372
Injection of drug or substance under skin or into muscle
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51 | 22 | $67.00 | $12.21 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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36 | 32 | $277.00 | $75.73 |
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96365
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
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23 | 15 | $208.00 | $52.17 |
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82728
Ferritin (blood protein) level
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22 | 17 | $41.00 | $13.36 |
|
83540
Iron level
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22 | 17 | $20.00 | $6.34 |
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96367
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less
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22 | 11 | $103.00 | $24.35 |
|
96413
Administration of chemotherapy into vein, 1 hour or less
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16 | 11 | $421.00 | $111.39 |
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J1200
Injection, diphenhydramine hcl, up to 50 mg
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16 | 11 | $4.00 | $0.81 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Letrozole | Letrozole | 31 | 2,190 | $407.14 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 24 | 779 | $21.87 | โ |
| Oxycodone Hcl | Oxycodone Hcl | 23 | 583 | $250.17 | โ |
| Imbruvica | Ibrutinib | 19 | 532 | $306,889.22 | โ |
| Gabapentin | Gabapentin | 18 | 528 | $143.59 | โ |
| Lorazepam | Lorazepam | 18 | 601 | $136.93 | โ |
| Anastrozole | Anastrozole | 18 | 900 | $53.44 | โ |
| Eliquis | Apixaban | 17 | 510 | $9,940.15 | โ |
| Alprazolam | Alprazolam | 16 | 510 | $28.07 | โ |
| Levothyroxine Sodium | Levothyroxine Sodium | 15 | 870 | $229.01 | โ |
| Revlimid | Lenalidomide | 14 | 308 | $177,886.29 | โ |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 13 | 315 | $311.37 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-10-11NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20200811003541
WA
9830336825
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Kaiser Foundation Health Plan Of Washington
4301 S Pine St, Tacoma, WA 984097206
Phone: 2534766500
Secondary Practice Locations
1519 3rd St Se, Ste. 260
Puyallup, WA 983723742
Phone: 2537701700
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Nurse Practitioner - Psychiatric/Mental Health
Advanced Registered Nurse Practitioner
Psychologist
Nurse Practitioner - Psychiatric/Mental Health
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4301 S PINE ST STE 301, TACOMA, WA 984097206 (Tel: 2534766500)
Registered at 8201 183RD AVE E, BONNEY LAKE, WA 983917075 (Tel: 2535612298)
Registered at PO BOX 749495, ATLANTA, GA 303749495 (Tel: 2394328331)
Nurse Practitioner (license number reported to NPPES: WA AP30006634)
Registered at PO BOX 117287, ATLANTA, GA 303687287 (Tel: 8662660555)
Nurse Practitioner (license number reported to NPPES: WA AP30006634)
NPI status registered as active in NPPES database
Registered at 1519 3RD ST SE, STE. 260, PUYALLUP, WA 983723742 (Tel: 2537701700)
Registered at 1519 3RD ST SE, STE. 260, PUYALLUP, WA 983723742 (Tel: 2537701700)
Recorded as LOAN RETCHLESS, NP
Nurse Practitioner (license number reported to NPPES: NC 0050-01307)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Tacoma
- Melinda Carter, ARNP
- John Ward, ARNP
- Heather Siegel, ARNP
- Stephanie Esbenshade, ARNP
- Kimberley Marin, ARNP
- Daniel Borkert, NP
Mailing Address
8201 183rd Ave E
Bonney Lake, WA 983917075
Phone: 2535612298