VALERIE B LODGE (FNP) – Nurse Practitioner, NPI 1609123298

VALERIE B LODGE (FNP) is a healthcare provider. based in Bandon, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP60265142 (WA). The NPI Number for VALERIE B LODGE (FNP) is 1609123298

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
VALERIE B LODGE (FNP)
NPI
1609123298
Phone
(541) 347-2529
Address
1010 1ST ST SE
Enumeration Date
14 August 2012
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092842423
Graduation Year
2011 (15 years ago)
PAC ID
5496079642
Group Practice PAC ID
7719875020
Professional Enrollment ID
I20150120000016
Address ID
WA990335128TE115XXCROS300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for VALERIE B LODGE (FNP)

  • 1010 1ST ST SE

    STE 110

    BANDON, OR 974119301

    Phone: (541) 347-2529

    Fax: (888) 541-5742

    Type: Mailing

  • PO BOX 850

    PORT ANGELES, WA 983620146

    Phone: (360) 565-0999

    Fax: (360) 582-4221

    Type: Mailing

  • 800 N 5TH AVE STE 101

    SEQUIM, WA 983823045

    Phone: (360) 565-0999

    Fax: (360) 582-4221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-01-20

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
I20150120000016INurse PractitionerWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10794$0
99214Established patient office or other outpatient visit, 30-39 minutes2823$0
View full utilization report →

Insurance plans in this area (ZIP 97411)

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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: 7719875020View full group profile

Reviews

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Frequently asked questions

How do I look up VALERIE B LODGE (FNP) by NPI?
Use NPI 1609123298 when you need to reference VALERIE B LODGE (FNP) in forms, claims, or directories.
Does this profile mean VALERIE B LODGE (FNP) is currently active?
Yes — VALERIE B LODGE (FNP) appears active in the national provider directory.
Can you summarize VALERIE B LODGE (FNP)'s specialty in plain language?
Clinically, the directory lists VALERIE B LODGE (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does VALERIE B LODGE (FNP) practice in Oregon?
You will see Bandon, Oregon on file for VALERIE B LODGE (FNP) alongside any extra practice locations.
What if Bandon, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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