MR. JAMES D PLOGER ARNP
NPI 1740769504
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA
NPI Status: Active since August 11, 2018
- Individual
- Male
- Nurse Practitioner
- Psychiatric/Mental Health
- PECOS Enrolled
About JAMES PLOGER
This page provides the complete NPI Profile along with additional information for James Ploger, a provider established in Seattle, Washington with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1740769504 assigned on August 2018. The practitioner's primary taxonomy code is 363LP0808X with license number AP60885870 (WA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1740769504
- Provider Name
- MR. JAMES D PLOGER ARNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 216 JAMES ST SEATTLE, WA 98104
- Location Phone
- (206) 372-4214
- Mailing Address
- 1909 S CHARLES ST SEATTLE, WA 98144
- Mailing Phone
- (206) 372-4214
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-11-2018
- Last Update Date
- 08-11-2018
- Code Navigator
A nurse practitioner (NP) like James Ploger is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP60885870
- License State
- WA
Medicare Participation & PECOS Enrollment Status
James Ploger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.43
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $24.35
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $27.75
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 4 | 0 | 7 | 6 | 9 | 5 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 14 | 6 | 18 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 4 + 6 + 1 + 8 + 5 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1740769504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053437632 | DR. JAMES RICHARD HOPFENBECK M.D. Individual | Psychiatry & Neurology (Psychiatry) | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1629472709 | MARGO JANINE BURNISON LICSW Individual | Social Worker (Clinical) | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1225506173 | BRITTANY JO MEEK Individual | Counselor (Mental Health) | 216 JAMES ST SEATTLE, WA 98104 (206) 464-1570 |
| 1962970632 | EMILY KATZ RN Individual | Registered Nurse | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1083183313 | PAUL DAVIS LPN Individual | Licensed Practical Nurse | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1083183081 | ANNA-MARIE VALENZIANO BSN-RN Individual | Registered Nurse | 216 JAMES ST SEATTLE, WA 98104 (206) 945-3239 |
| 1821567736 | EDEN MARTIN LICSWA Individual | Social Worker | 216 JAMES ST SEATTLE, WA 98104 (616) 464-6454 |
| 1245709039 | RAMONA ROSE EMERSON RN Individual | Registered Nurse | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1477023646 | STEVEN KENT SCHROCK CDP, CPSS Individual | Peer Specialist | 216 JAMES ST SEATTLE, WA 98104 (206) 823-5427 |
| 1952871790 | TRUONG DUY TRAN Individual | Case Manager/Care Coordinator | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1376798371 | RACHEL E ROURKE L.M.P., CPSS Individual | 216 JAMES ST SEATTLE, WA 98104 (206) 234-9509 | |
| 1255779203 | MRS. ERNESTINE DELORES GOSTON Individual | Peer Specialist | 216 JAMES ST DESC SEATTLE, WA 98104 (206) 823-6193 |
| 1356812507 | SAVANNAH LILLIAN GOGUEN Individual | Case Manager/Care Coordinator | 216 JAMES ST SEATTLE, WA 98104 (206) 464-1570 |
| 1043781172 | ANNA ALEXIS NICHOLS Individual | Case Manager/Care Coordinator | 216 JAMES ST SEATTLE, WA 98104 (206) 464-1570 |
| 1124599352 | MARK J DAILEY Individual | Case Manager/Care Coordinator | 216 JAMES ST SEATTLE, WA 98104 (206) 464-1570 |
| 1831661602 | MAX DAVID BABILON-CROCKETT Individual | Case Manager/Care Coordinator | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1558833327 | AMRAN AHMED Individual | Case Manager/Care Coordinator | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1902378771 | LOREN LILIENTHAL Individual | Case Manager/Care Coordinator | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1275005043 | LAUREN WAGLER Individual | Case Manager/Care Coordinator | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
| 1447722012 | CAREN GUSSOFF SUMPTION CPC, CVA, AAC, MFA Individual | Case Manager/Care Coordinator | 216 JAMES ST SEATTLE, WA 98104 (206) 464-6454 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740769504, enumerated in the NPI registry as an "individual" on August 11, 2018
The provider is located at 216 James St Seattle, Wa 98104 and the phone number is (206) 372-4214
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $97.43 with an average copayment of $24.35 for new patient appointments. Established patients should expect a typical charge of $111 and an average copayment of 27.75. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 11, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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