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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: October 25, 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 Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eppel Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Eppel Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Dieter Eppel, D.O.
Family Practice
NPI 1710932934
1950 POTTERY AVE SUITE 140
Port Orchard, WA 98366
(360) 876-5440
✔ PECOS✔ Accepts MedicareSame address
Anna Rose Monroe, ARNP
Family Practice
NPI 1295570505
1950 POTTERY AVE STE 140
Port Orchard, WA 98366
(360) 876-5440
✔ PECOS✔ Accepts MedicareSame address
Amanda Gerace, ARNP
Nurse Practitioner
NPI 1114731122
2407 PARKWOOD DR SE
Port Orchard, WA 98366
(757) 751-2026
✔ PECOS✔ Accepts Medicare2.3 mi
Zaleh Parham, ARNP
Nurse Practitioner
NPI 1134459670
1901 S CEDAR ST STE 108
Tacoma, WA 98405
(253) 968-0770
✔ PECOS✔ Accepts Medicare21 mi
Timothy Kobernik, D.O.
Family Practice
NPI 1588733604
MADIGAN ARMY MEDICAL CTR 9040 REID ST. ATTN MCHJ-QCR
Tacoma, WA 98431
(253) 968-6033
✔ PECOS✔ Accepts Medicare29 mi
Armando Quiroz, MD
Family Practice
NPI 1245292598
MADIGAN ARMY MEDICAL CENTER
Tacoma, WA 98431
(253) 968-2065
✔ PECOS29 mi
Cynthia Mosebach, FNP
Nurse Practitioner
NPI 1417388182
3525 ENSIGN RD NE
Olympia, WA 98506
(206) 543-6420
✔ PECOS34 mi
Rebecca Hamm, ARNP
Nurse Practitioner
NPI 1801349832
413 N V ST
Washougal, WA 98671
(509) 590-7116
✔ PECOS✔ Accepts Medicare133 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Eppel Family Medicine LLC enrolled in Medicare?

Yes. Eppel Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eppel Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Eppel Family Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (4) and Nurse Practitioner (4). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ambetter Health and 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 14 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.