CEZANNE A. EZEKIEL (CNM) – Registered Nurse, NPI 1770092009
Registered Nurse
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Profile Insights
NPPES metrics only — not quality of care.
231 CERTIFIED NURSE MIDWIFE (CNM) in WA
Provider Addresses for CEZANNE A. EZEKIEL (CNM)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
11511 NE 10TH ST
BELLEVUE, WA 980048578
Phone: (425) 502-3000
Type: Mailing
Tallman Avenue Northwest, Ballard, Seattle, King County, Washington, 5345, United States
SEATTLE, WA 98107
Phone: (206) 781-6080
Fax: (206) 781-6285
Type: Location
94-1480 MOANIANI ST
WAIPAHU, HI 967974632
Phone: (808) 432-3100
Type: Mailing
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: 2023-01-05
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 |
|---|---|---|---|---|
| I20171211001283 | I | Certified Nurse Midwife (Cnm) | WA | TBD |
| I20230105002406 | I | Certified Nurse Midwife (Cnm) | HI | 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 84125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| O P T O M E T R Y | HI | |
| - | HI | |
| Physician Assistant | HI | |
| Emergency Medicine | VA | |
| Orthopedic Surgery | HI | |
| Internal Medicine | HI | |
| Orthopedic Surgery | HI | |
| - | HI | |
| - | CO |
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