MONIQUEA JEAN DEGAN (APRN) – Family Nurse Practitioner, NPI 1205933884
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MONIQUEA JEAN DEGAN (APRN)
120 POLK STREET
4B
PORT TOWNSEND, WA 98368
Phone: (360) 390-2701
Fax: (360) 344-5045
Type: Mailing
120 POLK ST 4B
PORT TOWNSEND, WA 98368
Phone: (360) 390-2701
Fax: (360) 443-5045
Type: Location
1250 SW VETERANS WAY STE 120
REDMOND, OR 977562588
Phone: (541) 383-3005
Fax: (541) 383-1883
Type: Location
OHSU Family Medicine at Richmond, 3930, Southeast Division Street, Richmond, Portland, Metro, Multnomah County, Oregon, 97202, United States
PORTLAND, OR 972021643
Phone: (503) 418-3900
Type: Location
4036, East Burnside Street, Laurelhurst, Portland, Multnomah County, Oregon, 97214, United States
PORTLAND, OR 972142024
Phone: (503) 799-9623
Type: Mailing
210 POLK ST STE 4B
PORT TOWNSEND, WA 983686739
Phone: (360) 390-2701
Fax: (360) 344-5045
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: 2018-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040827000823 | I | Nurse Practitioner | OR | TBD |
| I20181003003066 | I | Nurse Practitioner | TX | 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 98368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| - | OR | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | OR |
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