MS. CYNTHIA LOUISE WORNSTAFF (FNP) – Family Nurse Practitioner, NPI 1811271661
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
Provider Addresses for MS. CYNTHIA LOUISE WORNSTAFF (FNP)
3528 TONGASS AVE
KETCHIKAN, AK 999015635
Phone: (907) 965-4040
Fax: (844) 742-6548
Type: Mailing
320 Bawden St
Suite #313
Ketchikan, AK 999016544
Phone: (907) 220-9982
Fax: (907) 220-9972
Type: Location
531 N Highway 101 Ste A
Depoe Bay, OR 973419572
Phone: (541) 765-3265
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Exact Sciences Corporation ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120913000225 | I | Nurse Practitioner | OR | TBD |
| I20240514003877 | I | Nurse Practitioner | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | WA | |
| Internal Medicine | OR | |
| - | WA | |
| Internal Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MT | |
| - | WA | |
| Emergency Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Diagnostic Radiology | OH | |
| Physician Assistant | WA |
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