SHERRY CHURCHILL – Family Nurse Practitioner, NPI 1114470747
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for SHERRY CHURCHILL
243511 W HIGHWAY 101
PORT ANGELES, WA 983639472
Phone: (360) 452-4252
Fax: (360) 452-6274
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)
CMS reports 1 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: MIMEDX Group, Inc. ($99).
Total Amount
$99
General + Research + Ownership
Payments
1
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $99 |
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: 2018-05-21
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 |
|---|---|---|---|---|
| I20180521002619 | I | Nurse Practitioner | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 175 | 115 | $0 |
| 81003 | Automated urinalysis test | 24 | 24 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 24 | 23 | $0 |
| 83036 | Hemoglobin a1c level | 15 | 11 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 13 | 11 | $0 |
Insurance plans in this area (ZIP 98363)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Family Practice | ID | |
| Family Practice | WA | |
| - | AK |
Reviews
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