ELLISE GAYLE GARCIA CARLOS – Women's Health Nurse Practitioner, NPI 1336918747

ELLISE GAYLE GARCIA CARLOS is a healthcare provider. based in Kirkland, Washington. specializing in NURSE PRACTITIONER. They hold a License No. AP61501892 (WA). The NPI Number for ELLISE GAYLE GARCIA CARLOS is 1336918747

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ELLISE GAYLE GARCIA CARLOS
NPI
1336918747
Phone
Not provided
Address
12303 NE 130TH LN STE CORAL320
Enumeration Date
27 December 2023
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4258996400
Graduation Year
2023 (3 years ago)
PAC ID
6709220262
Group Practice PAC ID
7618880097
Professional Enrollment ID
I20240223000509
Address ID
WA980343042KI12303LNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for ELLISE GAYLE GARCIA CARLOS

  • 12303 NE 130TH LN STE CORAL320

    KIRKLAND, WA 980343099

    Phone:

    Mailing address matches the actual address.

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 $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Organon LLC ($19).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-23

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
I20240223000509INurse 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 98034)

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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: 7618880097View full group profile
NameSpecialtyState
-WA
-WA
-WA
Interventional Cardiology, Cardiovascular Disease (Cardiology)WA
Physician AssistantWY
-WA
Nurse PractitionerWA
Physician AssistantWV
Family PracticeVT
-WA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELLISE GAYLE GARCIA CARLOS?
ELLISE GAYLE GARCIA CARLOS — NPI 1336918747 — is the standard way to identify this listing.
Is ELLISE GAYLE GARCIA CARLOS still practicing?
ELLISE GAYLE GARCIA CARLOS is currently listed as active in the public NPI registry.
What is ELLISE GAYLE GARCIA CARLOS's specialty?
The listing groups ELLISE GAYLE GARCIA CARLOS with Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ELLISE GAYLE GARCIA CARLOS based?
ELLISE GAYLE GARCIA CARLOS is tied to Kirkland, Washington in the data we show; additional addresses may exist on the full record.
Why does ELLISE GAYLE GARCIA CARLOS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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