AMBER LETHIN – Student in an Organized Health Care Education/Training Program, NPI 1053788117

AMBER LETHIN is a healthcare provider. based in Bremerton, Washington. specializing in PHYSICIAN ASSISTANT. The NPI Number for AMBER LETHIN is 1053788117

Main info

Female
10 Years Of Experience
Name
AMBER LETHIN
NPI
1053788117
Phone
(760) 695-2777
Address
1554 SHOREWOOD DR
Enumeration Date
25 August 2015
Last Update Date
25 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8082614411
Graduation Year
2016 (10 years ago)
PAC ID
1850779968
Group Practice PAC ID
6901119346
Professional Enrollment ID
I20220601002941
Address ID
HI967343420KA130XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

4,285 PHYSICIAN ASSISTANT in WA

Provider Addresses for AMBER LETHIN

  • 1554 SHOREWOOD DR

    APT B

    BREMERTON, WA 983122323

    Phone: (760) 695-2777

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $235.

Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: ABBVIE INC. ($74).

Total Amount

$235

General + Research + Ownership

Payments

11

Total payment records

General Amount

$235

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-01

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
I20220601002941IPhysician AssistantHITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4736$0
View full utilization report →

Insurance plans in this area (ZIP 98312)

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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: 6901119346View full group profile
NameSpecialtyState
-HI
Physician AssistantUT
Physician AssistantHI
-HI
Physician AssistantHI

Reviews

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Frequently asked questions

What is AMBER LETHIN's NPI number?
AMBER LETHIN's NPI is 1053788117 — the number used across U.S. healthcare to identify this provider.
Would AMBER LETHIN appear as active to a payer?
You can treat AMBER LETHIN as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for AMBER LETHIN?
At a glance, AMBER LETHIN is tied to Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is AMBER LETHIN associated with Bremerton?
Public fields place AMBER LETHIN around Bremerton, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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