ANNE M CROGHAN ARNP
NPI 1912978768
Nurse Practitioner in Seattle, WA

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1536 N 115TH ST, SUITE 105, SEATTLE, WA 98133(206) 520-5000 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anne M Croghan Arnp NPPES

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

ANNE M CROGHAN ARNP (NPI 1912978768) is an individual nurse practitioner in Seattle, Washington, licensed in Washington (AP30005700) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1912978768
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNE M CROGHANCredential: ARNP
Location Address1536 N 115TH ST, SUITE 105Seattle, WA 98133-8414
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJanuary 7, 2021
NPI 1912978768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WA · AP30005700
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1536 N 115TH ST, Seattle, WA 98133

Secondary Practice Location 1

Location 11550 N 115th StSeattle, WA 98133-8401 · Phone (206) 520-5000

Accepted 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

Anne M Croghan 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 ID1850589722
PECOS Enrollment IDI20101217000911
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 4

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.
97 services70 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.
54 services40 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
50 services50 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.
28 services21 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98133 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Gastroenterology)
1536 N 115TH ST
SEATTLE, WA 98133
Technician/Technologist (Optician)
1536 N 115TH ST, #110
SEATTLE, WA 98133
Pharmacist
1536 N 115TH ST, SUITE 130
SEATTLE, WA 98133
Optometrist
1536 N 115TH ST, SUITE #110
SEATTLE, WA 98133
Internal Medicine
1536 N 115TH ST, SUITE 125
SEATTLE, WA 98133
Pharmacist
1536 N 115TH ST, SUITE 100
SEATTLE, WA 98133
Surgery (Plastic and Reconstructive Surgery)
1536 N 115TH ST, SUITE 105
SEATTLE, WA 98133
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1536 N 115TH ST, SUITE 340
SEATTLE, WA 98133

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 Anne Croghan's NPI number?

The NPI number for Anne Croghan is 1912978768. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Anne Croghan located?

Anne Croghan practices at 1536 N 115th St Suite 105, Seattle, WA 98133. The listed phone number is (206) 520-5000.

What is Anne Croghan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anne Croghan enrolled in Medicare?

Yes. Anne Croghan 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 Anne Croghan accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Anne Croghan 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 Anne Croghan affiliated with any hospitals?

According to CMS data, Anne Croghan is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Anne Croghan was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.