JOSE DANIEL OLIVERA – Certified Registered Nurse Anesthetist, NPI 1063043982

JOSE DANIEL OLIVERA is a healthcare provider. based in Seattle, Washington. specializing in Certified Registered Nurse Anesthetist. They hold a License No. AP61034008 (TN). The NPI Number for JOSE DANIEL OLIVERA is 1063043982

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JOSE DANIEL OLIVERA
NPI
1063043982
Phone
(423) 309-4962
Address
13021 27TH AVE NE
Enumeration Date
29 January 2020
Last Update Date
5 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2065262000
Graduation Year
2019 (7 years ago)
PAC ID
6507293909
Group Practice PAC ID
9133032964
Professional Enrollment ID
I20200225001043
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for JOSE DANIEL OLIVERA

  • 13021 27TH AVE NE

    SEATTLE, WA 981254313

    Phone: (423) 309-4962

    Type: Mailing

  • 4800 SAND POINT WAY NE STE 100

    SEATTLE, WA 981053901

    Phone: (206) 987-8450

    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: 2020-02-25

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
I20200225001043ICertified Registered Nurse Anesthetist (Crna)WATBD

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 98125)

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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: 9133032964View full group profile
NameSpecialtyState
Pediatric MedicineWA
-WA
Pediatric Medicine, Hematology/OncologyCA
-WA
Diagnostic Radiology, Pediatric MedicineWA
Nurse PractitionerWA
A N E S T H E S I O L O G YWA
General Surgery, Thoracic Surgery, Surgical OncologyWA
-WA
-IL

Reviews

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Frequently asked questions

What unique ID ties claims to JOSE DANIEL OLIVERA?
NPI 1063043982 is assigned to JOSE DANIEL OLIVERA under the national enumeration system.
Is JOSE DANIEL OLIVERA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JOSE DANIEL OLIVERA list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for JOSE DANIEL OLIVERA. Clinical services aligned with this taxonomy classification.
Where is JOSE DANIEL OLIVERA's primary listing?
We display Seattle, Washington because that is what the record indicates for JOSE DANIEL OLIVERA.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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