TATYANA VASILYEVNA KLIMOK (ARNP) – Nurse Practitioner, NPI 1023661089

TATYANA VASILYEVNA KLIMOK (ARNP) is a healthcare provider. based in Kent, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. RN60196980 (WA). The NPI Number for TATYANA VASILYEVNA KLIMOK (ARNP) is 1023661089

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TATYANA VASILYEVNA KLIMOK (ARNP)
NPI
1023661089
Phone
(206) 694-3142
Address
22246 94TH AVE S
Enumeration Date
18 July 2019
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604352133
Graduation Year
2021 (5 years ago)
PAC ID
6507259991
Group Practice PAC ID
5991618738
Professional Enrollment ID
I20220208000207
Address ID
WA982231642AR330XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

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Provider Addresses for TATYANA VASILYEVNA KLIMOK (ARNP)

  • 22246, 94th Avenue South, Kent, King County, Washington, 98031, United States

    KENT, WA 980312409

    Phone: (206) 694-3142

    Type: Mailing

  • Valley Medical Center, 400, South 43rd Street, Renton, King County, Washington, 98055, United States

    RENTON, WA 980555714

    Phone: (425) 251-5196

    Type: Location

  • 4033 Talbot Rd S Ste 520

    Renton, WA 980555774

    Phone: (425) 690-3586

    Fax: (425) 690-9586

    Type: Location

  • 325 9TH AVE

    SEATTLE, WA 981042420

    Phone: (206) 520-5000

    Type: Location

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone:

    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: 2022-02-08

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
I20220208000207INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98031)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991618738View full group profile
NameSpecialtyState
Internal MedicineMN
Family Practice, HospitalistUT
-WA
-WA
Family PracticeWA
-WA
Internal Medicine, HospitalistOH
Internal Medicine, Hospitalist, Internal MedicineVA
Physician AssistantOR
Internal MedicineOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for TATYANA VASILYEVNA KLIMOK (ARNP)?
TATYANA VASILYEVNA KLIMOK (ARNP) — NPI 1023661089 — is the standard way to identify this listing.
Can I rely on TATYANA VASILYEVNA KLIMOK (ARNP) being an active provider?
As of the registry snapshot, TATYANA VASILYEVNA KLIMOK (ARNP) is marked active.
What is TATYANA VASILYEVNA KLIMOK (ARNP)'s primary classification?
Nurse Practitioner is the headline specialty for TATYANA VASILYEVNA KLIMOK (ARNP) here. Clinical services aligned with this taxonomy classification.
Where is TATYANA VASILYEVNA KLIMOK (ARNP) based?
TATYANA VASILYEVNA KLIMOK (ARNP) is tied to Kent, Washington in the data we show; additional addresses may exist on the full record.
Is the information about TATYANA VASILYEVNA KLIMOK (ARNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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