ELIZABETH WHITESIDE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1285003913

ELIZABETH WHITESIDE (PMHNP) is a healthcare provider. based in Bremerton, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 201606700NP-PP (OR). The NPI Number for ELIZABETH WHITESIDE (PMHNP) is 1285003913

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH WHITESIDE (PMHNP)
NPI
1285003913
Phone
(360) 377-3776
Address
PO BOX 960
Enumeration Date
23 September 2015
Last Update Date
7 September 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2533015400
Graduation Year
2017 (9 years ago)
PAC ID
9638458748
Group Practice PAC ID
5395094197
Professional Enrollment ID
I20170621001326
Address ID
WA984052487TA3402XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for ELIZABETH WHITESIDE (PMHNP)

  • PO BOX 960

    BREMERTON, WA 983370212

    Phone: (360) 377-3776

    Type: Mailing

  • 320 S KITSAP BLVD

    PORT ORCHARD, WA 983663778

    Phone: (360) 377-3776

    Type: Location

  • 5455 ALMIRA DR NE

    KITSAP MENTAL HEALTH

    BREMERTON, WA 98311

    Phone: (360) 373-5031

    Type: Mailing

  • 10300 SW EASTRIDGE ST

    PORTLAND, OR 972255004

    Phone: (503) 944-5000

    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: 2017-06-21

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
I20170621001326INurse 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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2511$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2414$0
View full utilization report →

Insurance plans in this area (ZIP 98337)

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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: 5395094197View full group profile

Reviews

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Frequently asked questions

What number should I use to identify ELIZABETH WHITESIDE (PMHNP) for billing?
Administrative and clinical systems typically use NPI 1285003913 for ELIZABETH WHITESIDE (PMHNP).
Is ELIZABETH WHITESIDE (PMHNP)'s NPI status active today?
Active status means ELIZABETH WHITESIDE (PMHNP)'s NPI record is not deactivated in the public file.
How should patients interpret ELIZABETH WHITESIDE (PMHNP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for ELIZABETH WHITESIDE (PMHNP). Clinical services aligned with this taxonomy classification.
What city is tied to ELIZABETH WHITESIDE (PMHNP)?
The directory associates ELIZABETH WHITESIDE (PMHNP) with Bremerton, Washington. Check all listed addresses for suites or satellite offices.
Who maintains ELIZABETH WHITESIDE (PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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