MR. JUSTIN GILL (ARNP) – Nurse Practitioner, NPI 1174903603
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for MR. JUSTIN GILL (ARNP)
2322 141ST ST NW
MARYSVILLE, WA 982718163
Phone: (360) 441-7489
Type: Location
4311 187TH ST SE
BOTHELL, WA 980127993
Phone: (360) 441-7489
Fax: (425) 984-7417
Type: Mailing
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Phone: (425) 316-5150
Type: Location
12800 Bothell Everett Hwy
Everett, WA 98208
Phone: (425) 316-5150
Type: Location
19200 N Kelsey St
Monroe, WA 982721431
Phone: (360) 794-7994
Type: Location
2020 MALTBY RD STE 7
#228
BOTHELL, WA 980218669
Phone: (360) 441-7489
Fax: (425) 984-7417
Type: Mailing
1225 183RD ST SE APT R305
BOTHELL, WA 98012
Phone: (360) 441-7489
Type: Location
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: 2015-09-02
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 |
|---|---|---|---|---|
| I20150902002925 | 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 | 100 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 41 | $0 |
| 81003 | Automated urinalysis test | 40 | 40 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 24 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 98271)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | WA | |
| - | OR | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| Infectious Disease, Internal Medicine | WA | |
| Family Practice | OR |
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