CHARISSA E CHI (ARNP) – Family Nurse Practitioner, NPI 1336653005
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for CHARISSA E CHI (ARNP)
17902, Riviera Place Southwest, Normandy Park, King County, Washington, 98166, United States
NORMANDY PARK, WA 981663642
Phone: (206) 650-1516
Type: Mailing
4310 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 984664337
Phone: (253) 301-5044
Type: Location
4310 Bridgeport Way W
University Place, WA 984664337
Phone: (253) 301-5044
Type: Location
200, South Meridian, Puyallup, Pierce County, Washington, 98371, United States
PUYALLUP, WA 983731654
Phone: (253) 539-4200
Type: Location
16045 1ST AVE S FL 1
BURIEN, WA 981481401
Phone: (206) 965-4100
Fax: (206) 965-4119
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: 2018-03-20
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 |
|---|---|---|---|---|
| I20180320001151 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 148 | 131 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 90 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 79 | 73 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | 36 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 29 | 12 | $0 |
Insurance plans in this area (ZIP 98166)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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