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JOSEPH LEWIS MCFADDEN ARNP
NPI 1083258859
Nurse Practitioner - Family in Elma, WA

Active since November 04, 2019PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2019, Nov 4, 2019 (2 updates tracked since 2019).

About Joseph Lewis Mcfadden Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH LEWIS MCFADDEN ARNP (NPI 1083258859) is an individual family provider in Elma, Washington, licensed in Washington (AP61018853) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083258859
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSEPH LEWIS MCFADDENCredential: ARNP
Location Address600 E MAIN STElma, WA 98541-9560
Mailing Address4805 34th Ct SeLacey, WA 98503-3644 · (360) 581-0453
Phone(360) 346-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 4, 2019
Last NPPES UpdateNovember 22, 20192 updates tracked since enumeration
✔ NPI 1083258859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP61018853
600 E MAIN ST, Elma, WA 98541
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Lewis Mcfadden Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335573344
PECOS Enrollment IDI20191230000705
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
143 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services26 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
34 services21 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
26 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500031
Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County
Emergency services Birthing friendly

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501304
Location600 East Main StreetElma, WA 98541 · Grays Harbor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98541 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers45 claims102 services$6.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims19 services$1.12 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier11 claims22 services$2.02 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$18.48 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier27 claims27 services$8.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims29 services$110.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAUDE OUELLETTE LMHC
Counselor (Mental Health)
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
KARLYNN STUDLEY MD
Student in an Organized Health Care Education/Training Program
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2239
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 HEALTH HOMES
Family Medicine
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
DR. BERNADETTE LOUISE HUARD MD
Psychiatry & Neurology (Psychiatry)
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
DR. GREGORY HANNABAS M.D.
Family Medicine
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
JOSEPH HANS KOHN ARNP-C
Nurse Practitioner (Family)
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2222
DR. ANDREW J BURTON PHARMD
Pharmacist
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2238
ETHAN NOBLE
Student in an Organized Health Care Education/Training Program
600 E MAIN ST
ELMA, WA 98541
Grays Harbor County (360) 346-2239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Mcfadden's NPI number?

The NPI number for Joseph Mcfadden is 1083258859. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Joseph Mcfadden located?

Joseph Mcfadden practices at 600 E Main St, Elma, WA 98541. The listed phone number is (360) 346-2222.

What is Joseph Mcfadden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Joseph Mcfadden enrolled in Medicare?

Yes. Joseph Mcfadden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joseph Mcfadden accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Joseph Mcfadden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Mcfadden affiliated with any hospitals?

According to CMS data, Joseph Mcfadden is affiliated with Providence St Peter Hospital, Grays Harbor Community Hospital and Summit Pacific Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Mcfadden was last updated on November 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.