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Edit this profileAt a glance
- 13424 E Mission Ave Ste A, Spokane Valley, WA 99216
About Neal Pickering
Listed in the NPI registry as a nurse practitioner — acute care, Neal A. Pickering, ARNP practices in Spokane Valley, WA. Neal is also listed as specializing in nurse practitioner. 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. NPI 1023671013 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (855) 229-8012
- Email not available
Is this your home address or personal number? Hide it
Practice Locations
13424 E MISSION AVE STE A
Spokane Valley, WA 99216
Conditions and Services Within This Provider's Scope
Within Nurse Practitioner - Acute Care generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Brain & Nerve
- Delirium
- Concussion in Children
- Ischemic stroke
- Transient ischemic attack
Digestive issues
- Severe diverticulitis flare-up
- Appendicitis
- Perforated gastrointestinal tract
Heart & Circulation
- Heart failure flare-up
- AFib
- Dangerous high blood pressure
- Deep vein thrombosis
- Heart attack
- Shock
- Unexplained chest pain
Lung & Breathing
- COPD flare-up
- Blood Clot in Lung
- Collapsed lung
- Fluid around the lungs
- Low oxygen levels
- Respiratory failure
- Severe asthma attack
- Shortness of breath
Surgical recovery
- Paralyzed bowel after surgery
- Surgical wound opening
Allergic reactions
Brain & nerves
Digestive & Abdominal
- Abdominal Pain
- Acute gallbladder inflammation
- Acute pancreatitis
- Ascites
- Internal Bleeding
- Small-bowel obstruction
Emergency care
General Acute Care
Heart & circulation
- Aortic aneurysm
- Infective endocarditis
- Pericarditis
- Slow heart rate (bradycardia)
Hormone & Metabolism
Infections
- Bone infection
- C. diff Infection
- Cellulitis
- Community-acquired pneumonia
- Kidney infection
- Meningitis
- Sepsis or blood infection
Kidney & Urinary
Liver & kidney
- Sudden Liver Failure
Post-Surgery Care
Trauma & injury
- Broken ribs
- Skull Fracture
Procedures & services
Bones & Joints
- Splinting for Fractures
- Joint injection or aspiration
Breathing & lung support
- Chest tube removal
- Breathing tube removal
- Chest Needle Decompression
- CPAP titration
Critical care
- ICU sedation and awakening trials
- Continuous dialysis for children
Critical Care Procedures
- Critical Care Consultation
- Sepsis Treatment Protocol
- Arterial catheter placement
- Central line placement
- Emergency intubation
Digestive & Abdominal
- Feeding or stomach tube insertion
- Paracentesis
Emergency care
- Emergency trauma evaluation
- Rapid response team evaluation
- Stomach pumping or activated charcoal
- Emergency epinephrine injection
Follow-up & recovery
- Post-ICU recovery visit
General Acute Care
- Comfort Care Management
- Hospital Discharge Follow-Up
Heart & Circulation
- Heart Rhythm Monitoring
- Temporary Pacemaker Care
- Electrical cardioversion
Kidney & Urinary
- Urinary catheter insertion
- Dialysis Catheter Care
Medications & Monitoring
- IV Antibiotic Therapy
- IV electrolyte replacement
- IV Medication Management
- Blood Clot Management
Pain Management
- Patient-Controlled Analgesia (PCA) Setup
Post-Surgery Care
- Post-Surgery Follow-Up
Pre-Surgery
- Pre-surgery medical clearance
Surgical recovery
- Post-op drain removal
Wound & Injury
Wound & injury care
- Dead tissue removal from wounds
- Minor laceration repair
- Superficial foreign-body removal
- Wound vacuum therapy
Blood & Infusion
- Blood Transfusion Management
Brain & Nerve
Brain & nerve care
- Brain pressure monitoring
Lung & Chest
- Breathing machine management
- Chest tube insertion
- Draining lung fluid
- Trach Tube Care and Changing
Pain management
Testing & Monitoring
- Blood Gas Testing
- Emergency ultrasound
Vascular access
- Chemo port removal
- PICC line care and removal
Procedures Most Often Billed to Medicare
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 — Acute Care |
| Aspiration and/or injection of fluid from large joint | Procedure | 20610 |
15 | Less often than most peers in Nurse Practitioner — Acute Care |
| Fluoroscopic guidance for needle placement | Imaging | 77002 |
31 | As often as other peers in Nurse Practitioner — Acute Care |
| Fluoroscopic guidance for insertion or removal of central vein access device | Imaging | 77001 |
11 | Less often than most peers in Nurse Practitioner — Acute Care |
| Ultrasonic guidance for blood vessel access | Imaging | 76937 |
11 | Less often than most peers in Nurse Practitioner — Acute Care |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | Treatment | 99152 |
15 | As often as other peers in Nurse Practitioner — Acute Care |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
32 | More often than most peers in Nurse Practitioner — Acute Care |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Related specialists at this location 2
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other nurse practitioners in Spokane Valley 3
Same specialty, same city.
More connections — 18 related providers in 3 groups
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 2018 at Other 8
Providers who graduated from the same medical school in the same year.
Also performs Aspiration of fluid from chest cavity using imaging guidance 2
Providers in WA who bill this service to Medicare most often.
Common questions
What is Neal A. Pickering's specialty?
Neal A. Pickering is a nurse practitioner in Spokane Valley, WA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Acute Care”.
NPI registry
Where can I find Neal A. Pickering?
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
How do I contact Neal A. Pickering?
The number on file is (855) 229-8012. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for Neal A. Pickering?
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
What is Neal A. Pickering's education?
Neal A. Pickering attended Other, graduating in 2018. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Neal A. Pickering have?
Neal A. Pickering has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.
CMS public data
What is Neal A. Pickering known for?
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
Is Neal A. Pickering's profile verified?
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.
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