ALYSSA GARRETT – Nurse Practitioner, NPI 1033005095

ALYSSA GARRETT is a healthcare provider. based in Yelm, Washington. specializing in NURSE PRACTITIONER. They hold a License No. AP70030656 (WA). The NPI Number for ALYSSA GARRETT is 1033005095

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ALYSSA GARRETT
NPI
1033005095
Phone
Not provided
Address
15402 CALLIE AVE SE
Enumeration Date
16 June 2025
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3604591700
Graduation Year
2025 (1 year ago)
PAC ID
3173025327
Group Practice PAC ID
5991791790
Professional Enrollment ID
I20250905004335
Address ID
WA985065132OL424XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for ALYSSA GARRETT

  • 15402 CALLIE AVE SE

    YELM, WA 985976621

    Phone:

    Type: Mailing

  • 424 LILLY RD NE

    OLYMPIA, WA 985065132

    Phone: (360) 459-1700

    Type: Location

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: 2025-09-05

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
I20250905004335INurse 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 98597)

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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: 5991791790View full group profile
NameSpecialtyState
D E R M A T O L O G YWA
Physician AssistantWA
-WA
Physician AssistantOR
Micrographic Dermatologic Surgery (Mds), Dermatology, Micrographic Dermatologic Surgery (Mds)IL
Physician AssistantWA

Reviews

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Frequently asked questions

Can I use this page to confirm ALYSSA GARRETT's NPI?
Yes. ALYSSA GARRETT is listed with NPI 1033005095 in the public NPI dataset.
Is ALYSSA GARRETT listed as active for patients and plans?
The listing shows ALYSSA GARRETT as active in the NPI system.
What healthcare role does ALYSSA GARRETT hold?
Scheduling teams often label ALYSSA GARRETT under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for ALYSSA GARRETT?
ALYSSA GARRETT's geographic hint is Yelm, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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