Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1689648818 Deactivated / Inactive NPI Male Practitioner

Todd William Herzog , CRNA ARNP

Nurse Practitioner • Hansville, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

⚠️

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, Todd Herzog has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 14, 2006
NPI Deactivation Date July 31, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Todd Herzog, CRNA ARNP was a registered Nurse Practitioner practicing in Hansville, WA. Throughout an active medical career spanning 18 years, Todd Herzog provided care at the practice location at 41487 NE FOULWEATHER BLUFF ROAD until profile deactivation on 2024-07-31.

Historical Medicare Part B clinical services included anesthesia for exam of colon using an endoscope, anesthesia for procedure on lower intestine using an endoscope, anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

41487 Ne Foulweather Bluff Road

Hansville, WA 983400455

Telephone 3609082457
Fax 3606380058
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hansville, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Hansville, WA (2339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00812 Anesthesia for exam of colon using an endoscope
17 17 $405.29 $90.92

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP30002036

(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.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated July 31, 2024

Record deactivated on July 31, 2024

NPI Profile Active April 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2011

Registered at 41487 NE FOULWEATHER BLUFF ROAD, HANSVILLE, WA 983400455 (Tel: 3609082457)

📍
Updated Business Mailing Address April 08, 2011

Registered at PO BOX 455, HANSVILLE, WA 983400455 (Tel: 3609082457)

👤
Provider Name / Credentials Updated April 08, 2011

Recorded as TODD HERZOG, CRNA ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2011

Nurse Practitioner (License #AP30002036 in WA)

🟢
Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Todd Herzog. Be the first to share your experience!

Sign in to leave a review for Todd Herzog

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1689648818
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: April 08, 2011
Deactivation Date: July 31, 2024

Mailing Address

Po Box 455

Hansville, WA 983400455

Phone: 3609082457

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.