NOAH WEATHERTON – Psychiatric/Mental Health Nurse Practitioner, NPI 1164067906

NOAH WEATHERTON is a healthcare provider. based in Kent, Washington. specializing in NURSE PRACTITIONER. They hold a License No. 60765393 (WA). The NPI Number for NOAH WEATHERTON is 1164067906

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
NOAH WEATHERTON
NPI
1164067906
Phone
(206) 901-2000
Address
841 Central Ave N # C-114
Enumeration Date
15 November 2019
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538337444
Graduation Year
2020 (6 years ago)
PAC ID
6305267089
Group Practice PAC ID
6406842053
Professional Enrollment ID
I20200604002002
Address ID
WA980022411AU2704XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for NOAH WEATHERTON

  • 841 Central Ave N # C-114

    Kent, WA 980322016

    Phone: (206) 901-2000

    Fax: (206) 901-2010

    Type: Location

  • 325 W GOWE ST

    KENT, WA 980325892

    Phone: (253) 833-7444

    Type: Mailing

  • 6400 SOUTHCENTER BLVD

    TUKWILA, WA 981882547

    Phone: (206) 901-2000

    Fax: (206) 901-2010

    Type: Mailing

  • 1600 E OLIVE ST

    SEATTLE, WA 981222735

    Phone: (206) 901-2000

    Fax: (206) 901-2010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($22).

Total Amount

$79

General + Research + Ownership

Payments

4

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-06-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200604002002INurse PractitionerWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2316$0
View full utilization report →

Insurance plans in this area (ZIP 98032)

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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: 6406842053View full group profile

Reviews

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Frequently asked questions

What is NOAH WEATHERTON's NPI number?
NOAH WEATHERTON's NPI is 1164067906 — the number used across U.S. healthcare to identify this provider.
Is NOAH WEATHERTON shown as active in public data?
Registry records indicate NOAH WEATHERTON maintains an active NPI.
What area of care is associated with NOAH WEATHERTON?
NOAH WEATHERTON's record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NOAH WEATHERTON?
Travel planning: use Kent, Washington as the reference point for NOAH WEATHERTON, then confirm.
When was this NPI issued?
Enumeration for NOAH WEATHERTON is noted as November 15, 2019 where the registry provides it.

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