JERRY G ELLIOTT (NP-C) – Nurse Practitioner, NPI 1114152758

JERRY G ELLIOTT (NP-C) is a healthcare provider. based in Richland, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. N-35393 (ID). The NPI Number for JERRY G ELLIOTT (NP-C) is 1114152758

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JERRY G ELLIOTT (NP-C)
NPI
1114152758
Phone
(509) 942-3627
Address
560 GAGE BLVD
Enumeration Date
27 May 2009
Last Update Date
8 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5092217000
Graduation Year
2009 (17 years ago)
PAC ID
8527235530
Group Practice PAC ID
5799035416
Professional Enrollment ID
I20120113000801
Address ID
WA993382722KE3810XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:17State licenses:3Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

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Provider Addresses for JERRY G ELLIOTT (NP-C)

  • 560, Gage Boulevard, Tri-Cities, Benton County, Washington, 99352, United States

    SUITE 203

    RICHLAND, WA 99352

    Phone: (509) 942-3627

    Fax: (509) 942-2268

    Type: Mailing

  • Kadlec Regional Medical Center, 888, Swift Boulevard, Richland, Benton County, Washington, 99352, United States

    RICHLAND, WA 99352

    Phone: (509) 946-9611

    Fax: (509) 942-2185

    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: 2023-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20120113000801INurse PractitionerWATBD
I20210927003295INurse PractitionerORTBD
I20231120003163INurse PractitionerIDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6527$0
99239Hospital discharge day management, more than 30 minutes2020$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 99352)

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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: 5799035416View full group profile

Reviews

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Frequently asked questions

What is JERRY G ELLIOTT (NP-C)'s NPI number?
JERRY G ELLIOTT (NP-C)'s NPI is 1114152758 — the number used across U.S. healthcare to identify this provider.
Is JERRY G ELLIOTT (NP-C) shown as active in public data?
Registry records indicate JERRY G ELLIOTT (NP-C) maintains an active NPI.
What kind of doctor is JERRY G ELLIOTT (NP-C)?
JERRY G ELLIOTT (NP-C) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JERRY G ELLIOTT (NP-C)?
Travel planning: use Richland, Washington as the reference point for JERRY G ELLIOTT (NP-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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