AUDRA JO BURDULIS (PA-C) – Medical Physician Assistant, NPI 1124075205
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for AUDRA JO BURDULIS (PA-C)
3600 Lind Ave SW Ste 170
Renton, WA 980574934
Phone: (425) 690-3555
Fax: (425) 690-9555
Type: Location
7203 129th Ave SE Ste 100
Newcastle, WA 980561412
Phone: (425) 690-3455
Fax: (425) 690-9455
Type: Location
Home Depot Kitchen & Bathroom Refacing, 3600, Lind Avenue Southwest, Renton, King County, Washington, 98055, United States
STE 100 ATTN CREDENTIALING
RENTON, WA 980574970
Phone: (425) 690-2715
Type: Mailing
Lind Avenue Southwest, Renton, King County, Washington, 98055, United States
RENTON, WA 980574934
Phone: (425) 690-3555
Fax: (425) 690-9555
Type: Location
600 JEFFERSON ST STE 600
LAFAYETTE, LA 705016987
Phone: (337) 202-0720
Type: Mailing
108 NW SISEMORE ST STE 120
BEND, OR 977032869
Phone: (541) 213-2133
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: 2006-09-11
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 |
|---|---|---|---|---|
| I20060911000544 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 65 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 44 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 98057)
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