KRISTIN MELLEIN – Family Nurse Practitioner, NPI 1184024747

KRISTIN MELLEIN is a healthcare provider. based in Tulalip, Washington. specializing in NURSE PRACTITIONER. They hold a License No. 60369533 (WA). The NPI Number for KRISTIN MELLEIN is 1184024747

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN MELLEIN
NPI
1184024747
Phone
(360) 716-4511
Address
7520 TOTEM BEACH RD
Enumeration Date
1 September 2014
Last Update Date
25 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535302940
Graduation Year
2014 (12 years ago)
PAC ID
3779875901
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20170504001372
Address ID
WA983325817GI11511NWXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for KRISTIN MELLEIN

  • 7520 TOTEM BEACH RD

    TULALIP, WA 982716160

    Phone: (360) 716-4511

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $976.

Total Amount is formed as General ($976) + Research ($0) + Ownership ($0) = $976.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($172).

Total Amount

$976

General + Research + Ownership

Payments

42

Total payment records

General Amount

$976

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2017-05-04

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
I20170504001372INurse 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 minutes199115$0
J1100Injection, dexamethasone sodium phosphate, 1 mg16613$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count6738$0
36415Insertion of needle into vein for collection of blood sample5438$0
99215Established patient office or other outpatient visit, 40-54 minutes5150$0
View full utilization report →

Insurance plans in this area (ZIP 98271)

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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: 0547173866View full group profile

Reviews

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Frequently asked questions

What number should I use to identify KRISTIN MELLEIN for billing?
Administrative and clinical systems typically use NPI 1184024747 for KRISTIN MELLEIN.
Is KRISTIN MELLEIN currently accepting referrals based on NPI status?
Registry metadata lists KRISTIN MELLEIN as active.
What does the directory say KRISTIN MELLEIN does?
Insurance directories may phrase it differently, but here KRISTIN MELLEIN maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KRISTIN MELLEIN?
KRISTIN MELLEIN is associated with Tulalip, Washington in the same public data insurers reference.
Why is information missing for KRISTIN MELLEIN?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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