DR. MARY JANELLE VANCLEAVE (M.D.) – Hospitalist Physician, NPI 1508949991

DR. MARY JANELLE VANCLEAVE (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD00048353 (WA). The NPI Number for DR. MARY JANELLE VANCLEAVE (M.D.) is 1508949991

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY JANELLE VANCLEAVE (M.D.)
NPI
1508949991
Phone
(206) 320-4476
Address
PO BOX 25608
Enumeration Date
23 October 2006
Last Update Date
2 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4256404000
Graduation Year
2003 (23 years ago)
PAC ID
3476650375
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20080930000653
Address ID
WA980267507ED21601WXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,058 INTERNAL MEDICINE in WA

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Provider Addresses for DR. MARY JANELLE VANCLEAVE (M.D.)

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 215-3354

    Type: Mailing

  • Swedish Medical Center Edmonds Campus, 21601, 76th Avenue West, Perrinville, Edmonds, Snohomish County, Washington, 98026, United States

    EDMONDS, WA 980267507

    Phone: (425) 640-4000

    Fax: (425) 640-4931

    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: 2008-09-30

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
I20080930000653IInternal MedicineWATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes14766$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8838$0
99239Hospital discharge day management, more than 30 minutes4746$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 84125)

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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: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
Orthopedic SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND

Reviews

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Frequently asked questions

Is there an official ID for DR. MARY JANELLE VANCLEAVE (M.D.) in U.S. healthcare records?
The official identifier for DR. MARY JANELLE VANCLEAVE (M.D.) is NPI 1508949991.
Is DR. MARY JANELLE VANCLEAVE (M.D.) shown as active in public data?
Registry records indicate DR. MARY JANELLE VANCLEAVE (M.D.) maintains an active NPI.
How would a patient describe DR. MARY JANELLE VANCLEAVE (M.D.)'s focus?
For DR. MARY JANELLE VANCLEAVE (M.D.), the primary taxonomy reads as Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where in Utah is DR. MARY JANELLE VANCLEAVE (M.D.) registered?
Use Salt Lake City, Utah as the headline location for DR. MARY JANELLE VANCLEAVE (M.D.) here.
When was this NPI issued?
Enumeration for DR. MARY JANELLE VANCLEAVE (M.D.) is noted as October 23, 2006 where the registry provides it.

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