| Amy J Hiestand, NP | |
|
10 Nicholls St, Davenport, WA 99122-9729 | |
| (509) 725-7101 | |
| (509) 725-2112 |
| Full Name | Amy J Hiestand |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 10 Nicholls St, Davenport, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124140116 | NPI | - | NPPES |
| 9652546 | Medicaid | WA | |
| 2122469 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP30007639 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lincoln Hospital | Davenport, WA | Hospital |
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lincoln County Hospital District 3 | 3971591199 | 21 |
| Spokane Emergency Physicians Ps | 8527050731 | 43 |
| Entity Name | Spokane Emergency Physicians PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235147117 PECOS PAC ID: 8527050731 Enrollment ID: O20040330001357 |
| Entity Name | Lincoln County Hospital District 3 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639113830 PECOS PAC ID: 3971591199 Enrollment ID: O20040505000483 |
| Entity Name | Lincoln County Hospital District 3 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841234598 PECOS PAC ID: 3971591199 Enrollment ID: O20080110000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy J Hiestand, NP 10 Nicholls St, Davenport, WA 99122-9729 Ph: (509) 725-7101 | Amy J Hiestand, NP 10 Nicholls St, Davenport, WA 99122-9729 Ph: (509) 725-7101 |
Janell R Long, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Nicholls St, Davenport, WA 99122 Phone: 509-725-7501 Fax: 509-725-7504 |