DESIREE A WASHBURN (NP) – Nurse Practitioner, NPI 1104078468

DESIREE A WASHBURN (NP) is a healthcare provider. based in Westminster, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-104224 (AL). The NPI Number for DESIREE A WASHBURN (NP) is 1104078468

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DESIREE A WASHBURN (NP)
NPI
1104078468
Phone
Not provided
Address
PO BOX 10330
Enumeration Date
17 October 2008
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2569030300
Graduation Year
2008 (18 years ago)
PAC ID
6709945348
Group Practice PAC ID
8729419874
Professional Enrollment ID
I20081111000516
Address ID
AL350580689CU1890X157X402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for DESIREE A WASHBURN (NP)

  • PO BOX 10330

    WESTMINSTER, CA 926850330

    Phone:

    Type: Mailing

  • 1912 AL HIGHWAY 157

    CULLMAN, AL 350580609

    Phone: (256) 737-2000

    Type: Location

  • 1890 AL HIGHWAY 157

    CULLMAN, AL 350583601

    Phone: (256) 903-0300

    Fax: (256) 801-7893

    Type: Location

  • 1890 AL HIGHWAY 157 STE 102

    CULLMAN, AL 350580689

    Phone: (256) 903-0300

    Fax: (256) 801-7893

    Type: Location

  • PO BOX 2895

    CULLMAN, AL 350562895

    Phone: (256) 735-5044

    Fax: (256) 801-7626

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 156 Open Payments records for all available years, with a total value of $3,684.

Total Amount is formed as General ($3,684) + Research ($0) + Ownership ($0) = $3,684.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($550).

Total Amount

$3,684

General + Research + Ownership

Payments

156

Total payment records

General Amount

$3,684

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2008-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081111000516INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes292251$0
99215Established patient office or other outpatient visit, 40-54 minutes6656$0
94660Therapy procedure using a positive pressure ventilator3938$0
87804Detection test by immunoassay with direct visual observation for influenza virus2211$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 92685)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729419874View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NY
General SurgeryAL
Nurse PractitionerTN
Orthopedic SurgeryAL
General Surgery, Emergency MedicineAL
Osteopathic Manipulative Medicine, Family PracticeAL
Family PracticeAL
Cardiovascular Disease (Cardiology), Internal MedicineAL
-AL
-FL

Reviews

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Frequently asked questions

How do I look up DESIREE A WASHBURN (NP) by NPI?
Use NPI 1104078468 when you need to reference DESIREE A WASHBURN (NP) in forms, claims, or directories.
Is DESIREE A WASHBURN (NP)'s NPI currently valid?
The extract we use shows DESIREE A WASHBURN (NP) as active.
Does DESIREE A WASHBURN (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for DESIREE A WASHBURN (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for DESIREE A WASHBURN (NP)?
The page summarizes Westminster, California for DESIREE A WASHBURN (NP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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