CORENE KIMBERLY IRVIN (APRN) – Acute Care Nurse Practitioner, NPI 1003463951

CORENE KIMBERLY IRVIN (APRN) is a healthcare provider. based in Puyallup, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 60978206 (WA). The NPI Number for CORENE KIMBERLY IRVIN (APRN) is 1003463951

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CORENE KIMBERLY IRVIN (APRN)
NPI
1003463951
Phone
Not provided
Address
15508 80TH AVENUE CT E
Enumeration Date
23 August 2019
Last Update Date
1 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2534443320
Graduation Year
2018 (8 years ago)
PAC ID
2466885827
Professional Enrollment ID
I20191126001213
Address ID
WA984652008TA815XXSTXX400

Contacts

Other Endpoint
outlook
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

6,261 NURSE PRACTITIONER in WA

Provider Addresses for CORENE KIMBERLY IRVIN (APRN)

  • 15508 80TH AVENUE CT E

    PUYALLUP, WA 983758489

    Phone:

    Mailing address matches the actual address.

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: 2019-11-26

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
I20191126001213INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,145288$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes850301$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes312283$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8450$0
99497Advance care planning, first 30 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 98375)

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Reviews

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Frequently asked questions

What NPI should I save for CORENE KIMBERLY IRVIN (APRN)?
Save NPI 1003463951 if you need a stable reference for CORENE KIMBERLY IRVIN (APRN).
Is CORENE KIMBERLY IRVIN (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CORENE KIMBERLY IRVIN (APRN) work in?
You can think of CORENE KIMBERLY IRVIN (APRN) as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place CORENE KIMBERLY IRVIN (APRN)?
The snapshot lists Puyallup, Washington for CORENE KIMBERLY IRVIN (APRN); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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