JOSEPH IV ADAMS – Psychiatric/Mental Health Nurse Practitioner, NPI 1063240125

JOSEPH IV ADAMS is a healthcare provider. based in Everett, Washington. specializing in NURSE PRACTITIONER. They hold a License No. AP61586328 (WA). The NPI Number for JOSEPH IV ADAMS is 1063240125

Main info

Male
2 Years Of Experience
Name
JOSEPH IV ADAMS
NPI
1063240125
Phone
(425) 742-4600
Address
10333 19TH AVE SE STE 109
Enumeration Date
22 July 2024
Last Update Date
17 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603366868
Graduation Year
2024 (2 years ago)
PAC ID
1557801131
Group Practice PAC ID
9638070501
Professional Enrollment ID
I20240910002092
Address ID
WA982734215MO1103XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for JOSEPH IV ADAMS

  • 10333 19TH AVE SE STE 109

    EVERETT, WA 982084267

    Phone: (425) 742-4600

    Type: Mailing

  • 2901 SQUALICUM PKWY

    BELLINGHAM, WA 982251851

    Phone: (360) 788-6993

    Type: Location

  • 1103 Cleveland Ave

    Mount Vernon, WA 982734215

    Phone: (360) 336-6868

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $294.

Total Amount is formed as General ($294) + Research ($0) + Ownership ($0) = $294.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($136).

Total Amount

$294

General + Research + Ownership

Payments

7

Total payment records

General Amount

$294

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2024-09-10

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
I20240910002092INurse 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 98208)

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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: 9638070501View full group profile
NameSpecialtyState
-CA
Nurse PractitionerWA
Psychiatry, Geriatric PsychiatryWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
P S Y C H I A T R YWA
-WA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Does JOSEPH IV ADAMS share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOSEPH IV ADAMS uses 1063240125.
Can I rely on JOSEPH IV ADAMS being an active provider?
As of the registry snapshot, JOSEPH IV ADAMS is marked active.
What healthcare role does JOSEPH IV ADAMS hold?
Scheduling teams often label JOSEPH IV ADAMS under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for JOSEPH IV ADAMS?
JOSEPH IV ADAMS's geographic hint is Everett, Washington in our summary view.
Is the information about JOSEPH IV ADAMS up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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