JEREMY MULLAVEY (ARNP) – Critical Care Medicine Nurse Practitioner, NPI 1245076553
Critical Care Medicine Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for JEREMY MULLAVEY (ARNP)
4308 E 41ST AVE
SPOKANE, WA 992231279
Phone:
Type: Mailing
62 W 7TH AVE STE 110
SPOKANE, WA 992042321
Phone: (509) 456-0262
Type: Location
101 W 8th Ave
Spokane, WA 992042307
Phone: (509) 474-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Paragonix Technologies, Inc. ($33).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paragonix Technologies, Inc. | $33 |
| Medtronic, Inc. | $16 |
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: 2024-08-05
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 |
|---|---|---|---|---|
| I20240805004015 | 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 99223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Thoracic Surgery, General Surgery | WA | |
| Nurse Practitioner | WA | |
| Vascular Surgery, Cardiac Surgery, Thoracic Surgery | WA | |
| Cardiac Surgery | NM | |
| Nurse Practitioner | WI | |
| Physician Assistant | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Cardiac Surgery | MA |
Reviews
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