MR. MAURICE A AJAIFIA (PMHNP) – Psychiatric/Mental Health Registered Nurse, NPI 1083288682
Psychiatric/Mental Health Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MR. MAURICE A AJAIFIA (PMHNP)
5197 NW Lower River Rd
Vancouver, WA 98660
Phone: (360) 397-8246
Type: Location
9605 GRAND RONDE RD
GRAND RONDE, OR 973479712
Phone: (503) 879-2060
Type: Mailing
9208 WELLINGTON DR
OAK POINT, TX 750683303
Phone: (214) 909-4320
Type: Mailing
720 WOOD ST
EUREKA, CA 955014413
Phone: (707) 268-2990
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 $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2023-05-25 • Largest payer in this snapshot: ITI, Inc. ($87).
Total Amount
$111
General + Research + Ownership
Payments
2
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $87 |
| Alkermes, Inc. | $24 |
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: 2024-07-26
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 |
|---|---|---|---|---|
| I20240726002865 | I | Nurse Practitioner | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98660)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| E N D O C R I N O L O G Y | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OR |
Reviews
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