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EPPEL FAMILY MEDICINE LLC
NPI 1134472947
Family Medicine - Geriatric Medicine in Port Orchard, WA

Active since October 17, 2012CLIA 50D2050802 · Waiver
1950 POTTERY AVE, STE 140, PORT ORCHARD, WA 98366(360) 876-5440(360) 876-0718 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eppel Family Medicine Llc NPPES

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

EPPEL FAMILY MEDICINE LLC (NPI 1134472947) is a healthcare organization registered as a geriatric medicine in Port Orchard, Washington and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Wendie Pond, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1134472947
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameEPPEL FAMILY MEDICINE LLC
Location Address1950 POTTERY AVE, STE 140Port Orchard, WA 98366-2592
Mailing Address1950 Pottery Ave, Ste 140Port Orchard, WA 98366-2592 · (360) 876-5440 · Fax (360) 876-0718
Phone(360) 876-5440
Fax(360) 876-0718
Organization SubpartNo
Authorized OfficialWendie PondBilling Manager · (360) 479-0508
Enumeration DateOctober 17, 2012
✔ NPI 1134472947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in WA · 1977
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1950 POTTERY AVE, Port Orchard, WA 98366
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2050802

Eppel Family Medicine · Port Orchard, WA
Active · expires Apr 4, 2028
CLIA Number50D2050802
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2012
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDieter H. Eppel
Laboratory Phone(360) 876-5440
Laboratory LocationEppel Family Medicine1950 Pottery Ave Ste 140, Port Orchard, WA 98366
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

SHELBY NOULLET
Behavior Technician
1950 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (855) 201-8141
MYKAL AND ASSOCIATES INC
Chiropractor
1950 POTTERY AVE, SUITE #5
PORT ORCHARD, WA 98366
Kitsap County (360) 876-6096
PENINSULA COMMUNITY HEALTH SERVICES
Dentist
1950 POTTERY AVE, SUITE 170
PORT ORCHARD, WA 98366
Kitsap County (360) 478-2366
DIETER EPPEL D.O.
Family Medicine (Geriatric Medicine)
1950 POTTERY AVE, SUITE 140
PORT ORCHARD, WA 98366
Kitsap County (360) 876-5440
MR. PAUL G HUTCHINSON DMD
Dentist (General Practice)
1950 POTTERY AVE, SUITE 4
PORT ORCHARD, WA 98366
Kitsap County (360) 876-6211
KATHERINE ANN RODRIGUEZ
Behavior Technician
1950 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (662) 306-3655
SUSAN PUTAANSUU, MN, ARNP, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1950 POTTERY AVE, SUITE 134
PORT ORCHARD, WA 98366
Kitsap County (360) 602-0355
MR. JAKOB CHRIS BOCK DMD
Dentist (General Practice)
1950 POTTERY AVE, SUITE 4
PORT ORCHARD, WA 98366
Kitsap County (360) 876-6211

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 Eppel Family Medicine LLC's NPI number?

The NPI number for Eppel Family Medicine LLC is 1134472947. It was assigned to this organization in the NPPES registry on October 17, 2012.

Where is Eppel Family Medicine LLC located?

Eppel Family Medicine LLC is located at 1950 Pottery Ave Ste 140, Port Orchard, WA 98366. The listed phone number is (360) 876-5440.

What is Eppel Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Eppel Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2050802) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eppel Family Medicine LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Eppel Family Medicine LLC 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.

When was this NPI record last updated?

The NPPES record for Eppel Family Medicine LLC was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.