MARY BURNELL (PA-C) – Physician Assistant, NPI 1124416508
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MARY BURNELL (PA-C)
8614 E MILL PLAIN BLVD
STE 400
VANCOUVER, WA 986642092
Phone: (541) 728-1019
Fax: (360) 254-6089
Type: Mailing
9135 SW BARNES RD STE 875
PORTLAND, OR 972256683
Phone: (503) 297-3440
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 198 Open Payments records for all available years, with a total value of $3,962.
Total Amount is formed as General ($3,962) + Research ($0) + Ownership ($0) = $3,962.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,178).
Total Amount
$3,962
General + Research + Ownership
Payments
198
Total payment records
General Amount
$3,962
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,178 |
| ABBVIE INC. | $538 |
| Novartis Pharmaceuticals Corporation | $347 |
| E.R. Squibb & Sons, L.L.C. | $251 |
| Amgen Inc. | $243 |
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: 2020-11-03
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 |
|---|---|---|---|---|
| I20201103001090 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 653 | 138 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 219 | 197 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 168 | 159 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 164 | 147 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 134 | 114 | $0 |
Insurance plans in this area (ZIP 98664)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.