TAMARA A IVERSON (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215579503

TAMARA A IVERSON (PMHNP) is a healthcare provider. based in Bremerton, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. AP61199411 (WA). The NPI Number for TAMARA A IVERSON (PMHNP) is 1215579503

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA A IVERSON (PMHNP)
NPI
1215579503
Phone
(360) 415-5870
Address
5455 ALMIRA DR NE
Enumeration Date
8 October 2019
Last Update Date
3 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094121051
Graduation Year
2021 (5 years ago)
PAC ID
7315345121
Group Practice PAC ID
7618875022
Professional Enrollment ID
I20211008001214
Address ID
WA993013386PA2715XLOOP401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

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Provider Addresses for TAMARA A IVERSON (PMHNP)

  • Almira Drive, East Bremerton, Bremerton, Kitsap County, Washington, 98310-3604, United States

    BREMERTON, WA 983118330

    Phone: (360) 415-5870

    Type: Mailing

  • PO BOX 959

    YAKIMA, WA 98902

    Phone: (509) 575-4084

    Type: Mailing

  • 2715 SAINT ANDREWS LOOP

    PASCO, WA 993013386

    Phone: (509) 412-1051

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-02-16 • Largest payer in this snapshot: Alkermes, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$17
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: 2021-10-08

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
I20211008001214INurse 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 minutes5616$0
View full utilization report →

Insurance plans in this area (ZIP 98311)

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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: 7618875022View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerWA
Mental Health CounselorWA
Nurse PractitionerMN
Nurse PractitionerWA
-MO
Mental Health CounselorWA
Mental Health CounselorWA
Nurse PractitionerLA
Clinical Social WorkerWA

Reviews

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Frequently asked questions

What unique ID ties claims to TAMARA A IVERSON (PMHNP)?
NPI 1215579503 is assigned to TAMARA A IVERSON (PMHNP) under the national enumeration system.
Is TAMARA A IVERSON (PMHNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does TAMARA A IVERSON (PMHNP) treat or focus on?
Patients typically see TAMARA A IVERSON (PMHNP) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for TAMARA A IVERSON (PMHNP)?
The page summarizes Bremerton, Washington for TAMARA A IVERSON (PMHNP); expand the address list for detail.
Is TAMARA A IVERSON (PMHNP) a real provider?
This page reflects official NPPES data for NPI 1215579503. Always confirm identity and privileges with the practice and licensing boards.

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