MISS WARAPORN M DENJALEARN (NP) – Nurse Practitioner, NPI 1669760310
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MISS WARAPORN M DENJALEARN (NP)
4423 DIXIE HILL RD APT 303
FAIRFAX, VA 220309096
Phone: (951) 852-6341
Type: Mailing
1959 NE PACIFIC ST
SEATTLE, WA 981950001
Phone: (206) 543-3687
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
1959 NE Pacific St
Seattle, WA 981950001
Phone: (206) 543-3687
Type: Location
225 N Jackson Ave
San Jose, CA 951161603
Phone: (951) 852-6341
Type: Location
707 W 2nd St
Bloomington, IN 474032209
Phone: (812) 334-5081
Fax: (812) 339-8344
Type: Location
3100 MacCorkle Ave SE Ste 101
Charleston, WV 253041215
Phone: (304) 388-5395
Fax: (304) 388-5398
Type: Location
2651 E Discovery Pkwy
Bloomington, IN 474089059
Phone: (812) 334-5081
Fax: (812) 334-5091
Type: Location
2823 Fresno St
Fresno, CA 93721
Phone: (559) 459-4390
Fax: (559) 443-2681
Type: Location
1800 N CALIFORNIA ST
STOCKTON, CA 952046019
Phone: (951) 852-6341
Type: Location
707 CEDAR ST STE 200
SOUTH BEND, IN 466172057
Phone: (574) 335-8707
Type: Mailing
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 465451465
Phone: (574) 335-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $8.
Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.
Last reported payment date: 2024-02-15 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($8).
Total Amount
$8
General + Research + Ownership
Payments
1
Total payment records
General Amount
$8
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $8 |
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: 2026-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20121101000294 | I | Nurse Practitioner | CA | TBD |
| I20220609003074 | I | Nurse Practitioner | TX | TBD |
| I20251202002588 | I | Nurse Practitioner | MI | TBD |
| I20260303001504 | I | Nurse Practitioner | NV | 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 22030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | NY | |
| Sleep Medicine, Critical Care (Intensivists) | TX | |
| Surgical Oncology | NY | |
| General Surgery | TN | |
| General Surgery | GA | |
| U R O L O G Y | NY | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
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