MARINA VIKTOROVNA DOLMATOVA (ARNP) – Family Nurse Practitioner, NPI 1043865421
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
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Provider Addresses for MARINA VIKTOROVNA DOLMATOVA (ARNP)
815, Locust Street, Grandview Homes, Delta, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982011228
Phone: (425) 346-7469
Type: Location
2622 S MERIDIAN
PUYALLUP, WA 983731500
Phone: (253) 841-2453
Fax: (253) 840-5519
Type: Location
1793 13TH ST SE
SALEM, OR 973022541
Phone: (503) 362-8385
Fax: (503) 362-8435
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 264 Open Payments records for all available years, with a total value of $6,061.
Total Amount is formed as General ($6,061) + Research ($0) + Ownership ($0) = $6,061.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,646).
Total Amount
$6,061
General + Research + Ownership
Payments
264
Total payment records
General Amount
$6,061
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,646 |
| ABBVIE INC. | $1,054 |
| Amgen Inc. | $324 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $243 |
| E.R. Squibb & Sons, L.L.C. | $224 |
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: 2023-08-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230829001670 | I | Nurse Practitioner | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 4,345 | 678 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,300 | 1,014 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 976 | 846 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 579 | 454 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 539 | 498 | $0 |
Insurance plans in this area (ZIP 98201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| D E R M A T O L O G Y | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA |
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