ELAINE BOLLING ROE (MD) – Family Medicine Physician, NPI 1073506804

ELAINE BOLLING ROE (MD) is a healthcare provider. based in Kent, Washington. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD00041977 (WA). The NPI Number for ELAINE BOLLING ROE (MD) is 1073506804

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
ELAINE BOLLING ROE (MD)
NPI
1073506804
Phone
Not provided
Address
403 E MEEKER ST
Enumeration Date
26 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2066162495
Graduation Year
2000 (26 years ago)
PAC ID
3072615194
Group Practice PAC ID
0446162697
Professional Enrollment ID
I20070220000778
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ELAINE BOLLING ROE (MD)

  • HealthPoint, 403, East Meeker Street, Downtown, Kent, King County, Washington, 98032-1762, United States

    STE 300

    KENT, WA 980305904

    Phone:

    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)

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: 2007-02-20

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
I20070220000778IFamily PracticeWATBD

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 98030)

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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: 0446162697View full group profile

Reviews

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Frequently asked questions

Does ELAINE BOLLING ROE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ELAINE BOLLING ROE (MD) uses 1073506804.
Is ELAINE BOLLING ROE (MD) listed as active for patients and plans?
The listing shows ELAINE BOLLING ROE (MD) as active in the NPI system.
What is ELAINE BOLLING ROE (MD) best known for clinically?
Directory data describes ELAINE BOLLING ROE (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does ELAINE BOLLING ROE (MD) serve?
ELAINE BOLLING ROE (MD)'s listing highlights Kent, Washington; more addresses can appear in NPPES.
Why does ELAINE BOLLING ROE (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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