OLESYA MYKULYN (PA-C) – Physician Assistant, NPI 1053848119
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for OLESYA MYKULYN (PA-C)
PO BOX 34703
SEATTLE, WA 981241703
Phone: (253) 681-6626
Type: Mailing
11307 Bridgeport Way SW Ste 217
Lakewood, WA 984993024
Phone: (253) 985-6134
Type: Location
26517, 114th Place Southeast, Fox Creek, Kent, King County, Washington, 98030, United States
KENT, WA 980307412
Phone:
Type: Mailing
Federal Way School District Office, 31405, 18th Avenue South, Federal Way, King County, Washington, 98003, United States
FEDERAL WAY, WA 980035433
Phone: (253) 681-6600
Type: Location
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 $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2023-04-20 • Largest payer in this snapshot: Dynavax Technologies Corporation ($42).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dynavax Technologies Corporation | $42 |
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: 2017-07-07
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 |
|---|---|---|---|---|
| I20170707002081 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 18 | 14 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 11 | 11 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | TN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA |
Reviews
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