Provider Profile
Listed in the NPI registry as a nurse practitioner, Neal A. Pickering, ARNP practices in Spokane Valley, WA. Medicare claims data shows Neal provided 143 services to 138 patients. The services billed most often include initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes, fluoroscopic guidance for needle placement, and aspiration of fluid from chest cavity using imaging guidance.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
13424 E MISSION AVE STE A
Spokane Valley, WA 99216
143 services · 138 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Aspiration of fluid from chest cavity using imaging guidance | Procedure | 32555 |
28 | As often as other peers in Nurse Practitioner |
| Aspiration and/or injection of fluid from large joint | Procedure | 20610 |
15 | Less often than most peers in Nurse Practitioner |
| Fluoroscopic guidance for needle placement | Imaging | 77002 |
31 | Less often than most peers in Nurse Practitioner |
| Fluoroscopic guidance for insertion or removal of central vein access device | Imaging | 77001 |
11 | Less often than most peers in Nurse Practitioner |
| Ultrasonic guidance for blood vessel access | Imaging | 76937 |
11 | Less often than most peers in Nurse Practitioner |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | Treatment | 99152 |
15 | Less often than most peers in Nurse Practitioner |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
32 | As often as other peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Neal A. Pickering is a nurse practitioner in Spokane Valley, WA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Neal A. Pickering is listed at 13424 E Mission Ave Ste A, Spokane Valley, WA 99216. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (855) 229-8012. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Neal A. Pickering's National Provider Identifier is 1023671013. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Neal A. Pickering attended Other, graduating in 2018. This comes from the CMS National Downloadable File.
CMS public data
Neal A. Pickering has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Neal A. Pickering performs procedures including aspiration of fluid from chest cavity using imaging guidance and aspiration and/or injection of fluid from large joint; reads or performs imaging such as fluoroscopic guidance for needle placement and fluoroscopic guidance for insertion or removal of central vein access device; provides treatments such as use of a drug to induce depression of consciousness by physician performing a procedure , initial 15 minutes, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Neal A. Pickering. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.