WENDY MIRONOV (ARNP) – Nurse Practitioner, NPI 1184199242
Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
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Provider Addresses for WENDY MIRONOV (ARNP)
8720, 14th Avenue South, South Park, Seattle, King County, Washington, 98108, United States
SEATTLE, WA 981084807
Phone: (206) 762-3730
Type: Location
3700 S HUDSON ST APT 402
SEATTLE, WA 981181978
Phone: (651) 855-8087
Type: Mailing
8720 14th Ave S
Seattle, WA 981084807
Phone: (206) 762-3730
Type: Location
14434 Ambaum Blvd SW Ste 5
Burien, WA 981661438
Phone: (206) 812-6140
Fax: (206) 812-2466
Type: Location
1112 S Cushman Ave
Tacoma, WA 984053631
Phone: (253) 593-2144
Fax: (253) 246-6725
Type: Location
955 POWELL AVE SW
RENTON, WA 980572908
Phone:
Type: Mailing
16200 116TH AVE SE
RENTON, WA 980585200
Phone: (425) 400-1899
Fax: (425) 663-8000
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: 2020-03-16
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 |
|---|---|---|---|---|
| I20200316002313 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Family Practice | DC | |
| Pediatric Medicine | TN | |
| - | WA | |
| Family Practice | ID | |
| Family Practice | WA | |
| Family Practice | WA | |
| General Practice | WA | |
| Family Practice | AZ | |
| Family Practice | WA |
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