NINA REISS (RN) – Family Nurse Practitioner, NPI 1114391786

NINA REISS (RN) is a healthcare provider. based in Yakima, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. RN00169288 (WA). The NPI Number for NINA REISS (RN) is 1114391786

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
NINA REISS (RN)
NPI
1114391786
Phone
(509) 573-7000
Address
104 N 4th Ave
Enumeration Date
19 November 2015
Last Update Date
5 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098371676
Graduation Year
2018 (8 years ago)
PAC ID
3779919105
Group Practice PAC ID
3678477395
Professional Enrollment ID
I20200204000555
Address ID
WA989301361GR204XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for NINA REISS (RN)

  • 104 N 4th Ave

    Yakima, WA 989022636

    Phone: (509) 573-7000

    Type: Location

  • 306 N 31ST AVE

    YAKIMA, WA 989022336

    Phone:

    Type: Mailing

  • 1300 N. 1ST ST.

    YAKIMA, WA 98901

    Phone: (509) 853-4327

    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: 2020-02-04

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
I20200204000555INurse 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 98902)

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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: 3678477395View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

How do payers reference NINA REISS (RN)?
For NINA REISS (RN), use NPI 1114391786 as the unique 10-digit identifier.
Is there an active status for NINA REISS (RN)?
For scheduling context, NINA REISS (RN) is shown as active in the registry.
What area of care is associated with NINA REISS (RN)?
NINA REISS (RN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with NINA REISS (RN)?
Directory geography for NINA REISS (RN) centers on Yakima, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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