VICTORIA MALLOCH DESALVO (ARNP) – Nurse Practitioner, NPI 1174043384

VICTORIA MALLOCH DESALVO (ARNP) is a healthcare provider. based in Brewster, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP60758226 (WA). The NPI Number for VICTORIA MALLOCH DESALVO (ARNP) is 1174043384

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA MALLOCH DESALVO (ARNP)
NPI
1174043384
Phone
(509) 689-2525
Address
520 W INDIAN AVE
Enumeration Date
20 June 2017
Last Update Date
20 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096892525
Graduation Year
2017 (9 years ago)
PAC ID
7416220009
Group Practice PAC ID
9739076217
Professional Enrollment ID
I20170901001365
Address ID
WA988125003BR520XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

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Provider Addresses for VICTORIA MALLOCH DESALVO (ARNP)

  • West Indian Avenue, Brewster, Okanogan County, Washington, 98812, United States

    BREWSTER, WA 98812

    Phone: (509) 689-2525

    Fax: (509) 689-3247

    Type: Location

  • PO BOX 1340

    OKANOGAN, WA 988401340

    Phone: (509) 422-5700

    Fax: (509) 422-7680

    Type: Mailing

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: 2017-09-01

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
I20170901001365INurse 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
81002Urinalysis, manual test2016$0
View full utilization report →

Insurance plans in this area (ZIP 98812)

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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: 9739076217View full group profile
NameSpecialtyState
Internal MedicineWA
Nurse PractitionerWA
Family PracticeWA
-WA
Physician AssistantAZ
Family PracticeWA
Mental Health CounselorWA
General PracticeWA
Nurse PractitionerWA
-WA

Reviews

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Frequently asked questions

Where can patients find VICTORIA MALLOCH DESALVO (ARNP)'s NPI?
You can confirm VICTORIA MALLOCH DESALVO (ARNP) with NPI 1174043384; it appears in the national provider directory.
Is VICTORIA MALLOCH DESALVO (ARNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does VICTORIA MALLOCH DESALVO (ARNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for VICTORIA MALLOCH DESALVO (ARNP). Clinical services aligned with this taxonomy classification.
What location shows for VICTORIA MALLOCH DESALVO (ARNP)?
We surface Brewster, Washington for VICTORIA MALLOCH DESALVO (ARNP) based on available NPPES addresses.
How can I contact VICTORIA MALLOCH DESALVO (ARNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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