RANDALL LEE DE JONG (ARNP) – Family Nurse Practitioner, NPI 1285716761
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
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Provider Addresses for RANDALL LEE DE JONG (ARNP)
909, Broadway, Glendale, Everett, Middlesex County, Massachusetts, 02149, United States
PBO
EVERETT, WA 982011409
Phone: (425) 317-0699
Fax: (425) 317-0291
Type: Mailing
Providence Regional Medical Center, 916, Pacific Avenue, Everett, Snohomish County, Washington, 98201, United States
1 SOUTH
EVERETT, WA 982014147
Phone: (425) 258-7390
Fax: (425) 258-7379
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: 2009-02-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090204000235 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 54 | 19 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 19 | 16 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 19 | 15 | $0 |
Insurance plans in this area (ZIP 98201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Physician Assistant | OR | |
| Nurse Practitioner | WA | |
| Addiction Medicine | OR | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Family Practice | OR |
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