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Deactivated NPI 1760618631 Deactivated / Inactive NPI Male Practitioner

Paul Benjamin Hacker , FNP-BC

Nurse Practitioner - Family • Spokane, 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, Paul Hacker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2009
NPI Deactivation Date April 15, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Paul Hacker, FNP-BC was a registered Nurse Practitioner - Family practicing in Spokane, WA. Throughout an active medical career spanning 10 years, Paul Hacker provided care at the practice location at 4815 N ASSEMBLY ST until profile deactivation on 2019-04-15.

Practice Location & Contact Primary Location

Practice Address

4815 N Assembly St

Spokane, WA 992056185

Telephone 5094347000
Associated Practice Facility / Clinic
🏢 Spokane Vamc Facility NPI 1962450122

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
283 Specialists

Practicing in Spokane, WA (3816 Statewide)

Telehealth Adoption Rate
14.8% 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

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License WA AP 60068071

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jeffrey Bailey , RN

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1003502808

Registered Nurse

Mayson Harrison , LMSW, LSWAIC

Student in an Organized Health Care Education/Training Program

NPI 1003622119

Licensed Master Social Worker, LSWAIC

NPI 1003738253

Doctor of Optometry

Nikolus Richey , PA-C

Physician Assistant - Medical

NPI 1023598265

Physician Assistant (Certified)

Dr. Brandy Henson , PhD

Psychologist - Clinical

NPI 1033303425

Doctor of Philosophy (Ph.D.)

Sarah Newton

Hospitalist

NPI 1033506308

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 April 15, 2019

Record deactivated on April 15, 2019

NPI Profile Active June 05, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 05, 2009

Registered at 4815 N ASSEMBLY ST, SPOKANE, WA 992056185 (Tel: 5094347000)

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Updated Business Mailing Address June 05, 2009

Registered at 4212 S GRAND BLVD, SPOKANE, WA 992032809 (Tel: 5098380235)

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Provider Name / Credentials Updated June 05, 2009

Recorded as PAUL HACKER, FNP-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2009

Nurse Practitioner (License #AP 60068071 in WA)

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Initial NPI Registration & Enumeration June 05, 2009

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: 1760618631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2009
Last Update: June 05, 2009
Deactivation Date: April 15, 2019

Mailing Address

4212 S Grand Blvd

Spokane, WA 992032809

Phone: 5098380235

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.