LINDSAY PETTY (ARNP) – Family Nurse Practitioner, NPI 1255749776
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for LINDSAY PETTY (ARNP)
PO BOX 3360
PORTLAND, OR 972083360
Phone: (866) 747-2455
Type: Mailing
19200 N KELSEY ST
MONROE, WA 982721431
Phone: (360) 794-7994
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,272.
Total Amount is formed as General ($1,272) + Research ($0) + Ownership ($0) = $1,272.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Medtronic, Inc. ($915).
Total Amount
$1,272
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $915 |
| 180 Medical, Inc. | $139 |
| Astellas Pharma US Inc | $38 |
| Endo USA, Inc. | $27 |
| Progenics Pharmaceuticals, Inc. | $25 |
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: 2014-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140911000461 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 197 | 169 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 193 | 163 | $0 |
| 51702 | Simple insertion of temporary bladder tube | 190 | 63 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 132 | 116 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 112 | 112 | $0 |
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | VA | |
| Nurse Practitioner | WA | |
| - | WA | |
| - | WA | |
| General Surgery | WA | |
| Endocrinology, Internal Medicine | WA | |
| - | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WA | |
| Physician Assistant | WY | |
| - | WA |
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