MR. WILLIAM KENNETH JR. HARTMAN (PA-C) – Physician Assistant, NPI 1225140924
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. WILLIAM KENNETH JR. HARTMAN (PA-C)
100 W South Ave
Chewelah, WA 991099684
Phone: (509) 935-8111
Fax: (509) 227-7070
Type: Location
421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States
LIBERTY LAKE, WA 990190421
Phone: (866) 747-2455
Fax: (509) 227-7070
Type: Mailing
Northeast Washington Medical Group, 1200, East Columbia Avenue, Colville, Stevens County, Washington, 99114, United States
COLVILLE, WA 99114
Phone: (509) 684-3701
Fax: (509) 227-7070
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: 2004-08-09
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 |
|---|---|---|---|---|
| I20040809001408 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 72 | 45 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 70 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 11 | $0 |
| 81003 | Automated urinalysis test | 11 | 11 | $0 |
Insurance plans in this area (ZIP 99109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AZ | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 172 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Family Practice | WA | |
| Physician Assistant | ID | |
| Nurse Practitioner | WA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | WA | |
| Internal Medicine | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA |
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