GAOJUA JULIET PENTON – Nurse Practitioner, NPI 1275006033

GAOJUA JULIET PENTON is a healthcare provider. based in Olympia, Washington. specializing in NURSE PRACTITIONER. They hold a License No. ARNP.AP.61206341-NP (WA). The NPI Number for GAOJUA JULIET PENTON is 1275006033

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
GAOJUA JULIET PENTON
NPI
1275006033
Phone
(360) 754-1735
Address
406 BLACK HILLS LN SW STE A
Enumeration Date
4 January 2019
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607541727
Graduation Year
2018 (8 years ago)
PAC ID
3476896382
Group Practice PAC ID
4789571092
Professional Enrollment ID
I20250304001339
Address ID
WA985028144OL406XXSWXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for GAOJUA JULIET PENTON

  • 406 BLACK HILLS LN SW STE A

    OLYMPIA, WA 985028144

    Phone: (360) 754-1735

    Type: Mailing

  • Valleygate Drive, Fayetteville, Cumberland County, North Carolina, 28304, United States

    FAYETTEVILLE, NC 283043667

    Phone: (910) 260-5216

    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: 2025-03-04

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
I20250304001339INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98502)

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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: 4789571092View full group profile
NameSpecialtyState
P A T H O L O G YWA
P A T H O L O G YFL
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)NE
N E U R O L O G YWA
Gastroenterology, Internal MedicineWA
Certified Registered Nurse Anesthetist (Crna)WA
Gastroenterology, Internal MedicineWA
Certified Registered Nurse Anesthetist (Crna)WA
-WA

Reviews

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Frequently asked questions

What number should I use to identify GAOJUA JULIET PENTON for billing?
Administrative and clinical systems typically use NPI 1275006033 for GAOJUA JULIET PENTON.
Quick check: is GAOJUA JULIET PENTON active?
Public NPPES data shows GAOJUA JULIET PENTON with an active NPI status right now.
What does the directory say GAOJUA JULIET PENTON does?
Insurance directories may phrase it differently, but here GAOJUA JULIET PENTON maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GAOJUA JULIET PENTON?
GAOJUA JULIET PENTON is associated with Olympia, Washington in the same public data insurers reference.
Who maintains GAOJUA JULIET PENTON's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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