NICOLE SIOBHAN PATCHING (MD) – Obesity Medicine (Family Medicine) Physician, NPI 1134612658

NICOLE SIOBHAN PATCHING (MD) is a healthcare provider. based in Walla walla, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD201627 (OR). The NPI Number for NICOLE SIOBHAN PATCHING (MD) is 1134612658

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE SIOBHAN PATCHING (MD)
NPI
1134612658
Phone
(509) 897-3700
Address
1111 S 2ND AVE
Enumeration Date
9 June 2018
Last Update Date
5 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098973700
Graduation Year
2018 (8 years ago)
PAC ID
0840549986
Group Practice PAC ID
2860552973
Professional Enrollment ID
I20240916001179
Address ID
WA993624118WA1111XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for NICOLE SIOBHAN PATCHING (MD)

  • 1111 S 2ND AVE

    WALLA WALLA, WA 993624118

    Phone: (509) 897-3700

    Fax: (509) 897-5575

    Type: Mailing

  • 110 E 18TH ST APT 207

    MINNEAPOLIS, MN 554034018

    Phone: (647) 667-4976

    Type: Mailing

  • Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554151623

    Phone: (612) 873-3000

    Type: Location

  • 620 NW 11TH ST STE 103

    HERMISTON, OR 978386713

    Phone: (541) 667-3830

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Rhythm Pharmaceuticals, Inc. ($63).

Total Amount

$178

General + Research + Ownership

Payments

8

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210917000059IFamily PracticeORTBD
I20240916001179IFamily PracticeWATBD

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 99362)

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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: 2860552973View full group profile
NameSpecialtyState
Emergency MedicineCO
Hospitalist, Internal MedicineUT
Nurse PractitionerWA
Internal Medicine, HospitalistID
N E U R O L O G YOR
Family PracticeWA
-WA
Emergency MedicineWA
Physical Therapist In Private PracticeWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What number should I use to identify NICOLE SIOBHAN PATCHING (MD) for billing?
Administrative and clinical systems typically use NPI 1134612658 for NICOLE SIOBHAN PATCHING (MD).
Is NICOLE SIOBHAN PATCHING (MD)'s NPI status active today?
Active status means NICOLE SIOBHAN PATCHING (MD)'s NPI record is not deactivated in the public file.
What type of care does NICOLE SIOBHAN PATCHING (MD) provide?
NICOLE SIOBHAN PATCHING (MD)'s profile centers on Obesity Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLE SIOBHAN PATCHING (MD)?
NICOLE SIOBHAN PATCHING (MD) is associated with Walla Walla, Washington in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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