JOHN NEBEKER – Counselor, NPI 1356088702

JOHN NEBEKER is a healthcare provider. based in Everett, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MC61503626 (WA). The NPI Number for JOHN NEBEKER is 1356088702

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JOHN NEBEKER
NPI
1356088702
Phone
(425) 349-6200
Address
4526 FEDERAL AVE
Enumeration Date
17 May 2022
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097734017
Graduation Year
2023 (3 years ago)
PAC ID
3274970751
Group Practice PAC ID
0648164269
Professional Enrollment ID
I20240319003753
Address ID
WA986209059GO317XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for JOHN NEBEKER

  • 4526 FEDERAL AVE

    EVERETT, WA 982032132

    Phone: (425) 349-6200

    Type: Mailing

  • 317 SANDERS WAY

    GOLDENDALE, WA 986209059

    Phone: (509) 773-4017

    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: 2024-03-19

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
I20240319003753IMental Health CounselorWATBD

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 98203)

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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: 0648164269View full group profile
NameSpecialtyState
Family Practice, Preventive MedicineNM
Physician AssistantMT
Pain ManagementWA
Internal MedicineWA
Nurse PractitionerTN
O P T O M E T R YWA
-WA
Cardiovascular Disease (Cardiology)OR
Internal Medicine, Cardiovascular Disease (Cardiology)OR
Physician AssistantWA

Reviews

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Frequently asked questions

Where can patients find JOHN NEBEKER's NPI?
You can confirm JOHN NEBEKER with NPI 1356088702; it appears in the national provider directory.
Does this profile mean JOHN NEBEKER is currently active?
Yes — JOHN NEBEKER appears active in the national provider directory.
What field does JOHN NEBEKER work in?
You can think of JOHN NEBEKER as practicing within Counselor. Clinical services aligned with this taxonomy classification.
Does JOHN NEBEKER practice in Washington?
You will see Everett, Washington on file for JOHN NEBEKER alongside any extra practice locations.
How can I contact JOHN NEBEKER?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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