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DANELLE NICK MD
NPI 1245556026
Pediatrics in Walla Walla, WA

Active since April 19, 2010PECOS Enrolled
55 W TIETAN ST, WALLA WALLA, WA 99362(509) 525-3720 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Danelle Nick Md NPPES

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

DANELLE NICK MD (NPI 1245556026) is an individual pediatrics provider in Walla Walla, Washington, licensed in Washington (MD60912797) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Loma Linda.

NPPES Registry Identity

NPI1245556026
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDANELLE NICKCredential: MD
Location Address55 W TIETAN STWalla Walla, WA 99362-4498
Mailing Address55 W Tietan StWalla Walla, WA 99362-4498 · (509) 525-3720
Phone(509) 525-3720
Sole ProprietorNo
Enumeration DateApril 19, 2010
Last NPPES UpdateJanuary 8, 2019
✔ NPI 1245556026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD60912797
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 W TIETAN ST, Walla Walla, WA 99362
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Secondary Practice Location 1

Location 111234 Anderson St, GME Office CP 21005Loma Linda, CA 92354-2804 · Phone (909) 558-8131

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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 (PECOS)

Danelle Nick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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.

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.

KEVIN JON MOLANDER M.D.
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
STACEY RENEE HAVEMAN PHYSICIAN ASSISTANT
Physician Assistant (Medical)
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
JUSTIN OLSWANGER DO
Family Medicine (Adult Medicine)
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
DR. JOHN ERIC MOORE D.O.
Family Medicine
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
TIMOTHY ISAMU O'CONNOR M.D.
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
REBEKAH DICKMAN M.D.
Pediatrics
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
DIANA FITZGERALD AU.D.
Audiologist
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720
GUNNAR LEIGHTON JAMES SJOREN DPT
Physical Therapist
55 W TIETAN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-3720

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 Danelle Nick's NPI number?

The NPI number for Danelle Nick is 1245556026. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Danelle Nick located?

Danelle Nick practices at 55 W Tietan St, Walla Walla, WA 99362. The listed phone number is (509) 525-3720.

What is Danelle Nick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Danelle Nick enrolled in Medicare?

Yes. Danelle Nick is registered in the Medicare PECOS enrollment system.

What insurance does Danelle Nick accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Danelle Nick 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 Danelle Nick was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.