MS. ANNETTE FLY – Family Nurse Practitioner, NPI 1134480056
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 MS. ANNETTE FLY
1300 NE GOLDIE ST
OAK HARBOR, WA 982774832
Phone: (360) 679-5590
Type: Location
PO BOX 3603
SEATTLE, WA 981243603
Phone: (206) 371-6289
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $198.
Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Novo Nordisk Inc ($158).
Total Amount
$198
General + Research + Ownership
Payments
11
Total payment records
General Amount
$198
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $158 |
| Exact Sciences Corporation | $24 |
| PFIZER INC. | $15 |
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: 2013-09-09
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 |
|---|---|---|---|---|
| I20130909000382 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 489 | 262 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 254 | 176 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 97 | 26 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 88 | 88 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 85 | 73 | $0 |
Insurance plans in this area (ZIP 98277)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | WA |
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