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Deactivated NPI 1205215357 Deactivated / Inactive NPI Male Practitioner

Carl Ian Van Gelder , L AC

Acupuncturist • Eastsound, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carl Van Gelder has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 21, 2015
NPI Deactivation Date December 20, 2018
Total Practice Duration ~3 Years of Practice (2015 – 2018)

Professional Overview & Biography Verified Profile Summary

Carl Van Gelder, L AC was a registered Acupuncturist practicing in Eastsound, WA. Throughout an active medical career spanning 3 years, Carl Van Gelder provided care at the practice location at 453 N BEACH RD until profile deactivation on 2018-12-20.

Practice Location & Contact Primary Location

Practice Address

453 N Beach Rd

Eastsound, WA 982458927

Telephone 3603764002
Associated Practice Facility / Clinic
🏢 Islands Acupuncture, P.s Facility NPI 1043422983

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Eastsound, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Eastsound, WA (1531 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License WA AC40

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Patrick Stockstill , LMT

Massage Therapist

NPI 1104537695

Licensed Massage Therapist

Christopher Evans

Massage Therapist

NPI 1326459504
Erin Quies , LMP

Massage Therapist

NPI 1386970689

Licensed Massage Practitioner

Michael Mitchell , LMP

Massage Therapist

NPI 1508688771

Licensed Massage Practitioner

Keely Scott , LMP

Massage Therapist

NPI 1699160358

Licensed Massage Practitioner

Hugh Grant

Social Worker - Clinical

NPI 1750898250

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 20, 2018

Record deactivated on December 20, 2018

NPI Profile Active May 21, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 21, 2015

Registered at 453 N BEACH RD, EASTSOUND, WA 982458927 (Tel: 3603764002)

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Updated Business Mailing Address May 21, 2015

Registered at PO BOX 291, EASTSOUND, WA 982450291 (Tel: 3603764002)

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Provider Name / Credentials Updated May 21, 2015

Recorded as CARL VAN GELDER, L. AC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2015

Acupuncturist (License #AC40 in WA)

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Initial NPI Registration & Enumeration May 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205215357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2015
Last Update: May 21, 2015
Deactivation Date: December 20, 2018

Mailing Address

Po Box 291

Eastsound, WA 982450291

Phone: 3603764002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.