Unknown Individual – Adult Health Nurse Practitioner, NPI 1093792285
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2202, South Cedar Street, Tacoma, Pierce County, Washington, 98405, United States
STE 330
TACOMA, WA 984052318
Phone: (253) 503-2508
Type: Mailing
2202 S Cedar St
Ste 330
Tacoma, WA 984052318
Phone: (253) 503-2547
Fax: (253) 503-2552
Type: Location
230, 3rd Street Southeast, Puyallup, Pierce County, Washington, 98372, United States
PUYALLUP, WA 98372
Phone: (253) 841-8640
Fax: (583) 841-7645
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $384.
Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($149).
Total Amount
$384
General + Research + Ownership
Payments
4
Total payment records
General Amount
$384
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $149 |
| Gilead Sciences, Inc. | $125 |
| Janssen Biotech, Inc. | $110 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 98405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WA | 96415 | Infusion of chemotherapy into a vein | 346 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | WA | |
| Internal Medicine | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| G A S T R O E N T E R O L O G Y | WA | |
| Nurse Practitioner | CO | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| G A S T R O E N T E R O L O G Y | CO | |
| - | WA |
Reviews
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