ALTA LANGDON – Family Nurse Practitioner, NPI 1356751077

ALTA LANGDON is a healthcare provider. based in Marysville, Washington. specializing in NURSE PRACTITIONER. They hold a License No. RN60073819 (WA). The NPI Number for ALTA LANGDON is 1356751077

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALTA LANGDON
NPI
1356751077
Phone
(360) 454-1900
Address
2901 174th St NE
Enumeration Date
2 May 2014
Last Update Date
12 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4259311084
Graduation Year
2020 (6 years ago)
PAC ID
4486871415
Professional Enrollment ID
I20201022004142
Address ID
AZ852603690SC14301STXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:12State licenses:4Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for ALTA LANGDON

  • 2901 174th St NE

    Marysville, WA 982714743

    Phone: (360) 454-1900

    Type: Location

  • 14301 N 87TH ST STE 218

    SCOTTSDALE, AZ 852603690

    Phone: (480) 546-2819

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $931.

Total Amount is formed as General ($931) + Research ($0) + Ownership ($0) = $931.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($280).

Total Amount

$931

General + Research + Ownership

Payments

44

Total payment records

General Amount

$931

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2020-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20140814001134INurse PractitionerWATBD
I20200819003128INurse PractitionerORTBD
I20201022004142INurse PractitionerAZTBD

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 98271)

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Reviews

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Frequently asked questions

How is ALTA LANGDON identified in CMS data?
CMS-hosted NPPES data lists ALTA LANGDON with NPI 1356751077.
Does CMS list ALTA LANGDON as active?
Yes — ALTA LANGDON is active in the NPI listing used on this page.
What is ALTA LANGDON's primary classification?
Family Nurse Practitioner is the headline specialty for ALTA LANGDON here. Clinical services aligned with this taxonomy classification.
What area does ALTA LANGDON serve?
ALTA LANGDON's listing highlights Marysville, Washington; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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