JONATHAN NOLAN HALE (ARNP) – Family Nurse Practitioner, NPI 1003560459
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for JONATHAN NOLAN HALE (ARNP)
1515 E Columbia St
Othello, WA 993441846
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
1051 Columbia Ave
Connell, WA 993268702
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
601 Government Rd
Mattawa, WA 993495120
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
1515 E COLUMBIA ST
OTHELLO, WA 993441846
Phone: (509) 488-5250
Fax: (509) 488-9939
Type: Mailing
PO BOX 2928
PORTLAND, OR 972082928
Phone: (425) 207-5155
Type: Mailing
1705 SE MEADOWBROOK BLVD STE 2
COLLEGE PLACE, WA 993241756
Phone: (888) 227-3312
Fax: (509) 529-2858
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-12-18
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 |
|---|---|---|---|---|
| I20220805000638 | I | Nurse Practitioner | WA | TBD |
| I20231218002701 | I | Nurse Practitioner | OR | 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 99344)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | OR | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| - | MT | |
| Physician Assistant | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.