MARK A PRUITT (FNP) – Nurse Practitioner, NPI 1437144938
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
309 OTOLARYNGOLOGY in VA
Provider Addresses for MARK A PRUITT (FNP)
1790, May Street, Hood River, Hood River County, Oregon, 97031, United States
SUITE A
HOOD RIVER, OR 970311369
Phone: (541) 632-4050
Fax: (888) 377-4656
Type: Mailing
101 DOCTORS PARK
GALAX, VA 243332277
Phone: (276) 595-8921
Fax: (276) 883-6232
Type: Mailing
May Street, Middle Terrace Neighborhood, Hood River, Hood River County, Oregon, 97031, United States
HOOD RIVER, OR 970319786
Phone: (541) 632-4050
Fax: (888) 377-4656
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $332.
Total Amount is formed as General ($332) + Research ($0) + Ownership ($0) = $332.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($123).
Total Amount
$332
General + Research + Ownership
Payments
10
Total payment records
General Amount
$332
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2026-02-26
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 |
|---|---|---|---|---|
| I20191217001978 | I | Otolaryngology | VA | TBD |
| I20260226001266 | I | Nurse Practitioner | VA | 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 97031)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OR | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 623 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA |
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