Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1013009273
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
721 S 1st St
Mount Vernon, WA 982733812
Phone: (360) 708-9741
Type: Location
1911, East Division Street, Mount Vernon, Skagit County, Washington, 98273, United States
MOUNT VERNON, WA 982746703
Phone: (360) 708-9741
Fax: (360) 588-4192
Type: Location
Mount Vernon Post Office, Broadway Street, Mount Vernon, Jefferson County, Illinois, 62864, United States
MOUNT VERNON, WA 98273
Phone: (360) 708-9741
Fax: (801) 780-9741
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2023-03-17 • Largest payer in this snapshot: Lundbeck LLC ($23).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $23 |
| Otsuka America Pharmaceutical, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 98273)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WA | 90836 | Psychotherapy, 45 minutes with patient and/or family member | 66 | 26 |
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