PAULINE S MEAD (MSN, APRN, PMHNP) – Specialist, NPI 1366578338

PAULINE S MEAD (MSN, APRN, PMHNP) is a healthcare provider. based in Long beach, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, PMHNP. They hold a License No. AP61646945 (WA). The NPI Number for PAULINE S MEAD (MSN, APRN, PMHNP) is 1366578338

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
PAULINE S MEAD (MSN, APRN, PMHNP)
NPI
1366578338
Phone
(360) 642-3787
Address
2204 PACIFIC AVE N
Enumeration Date
26 February 2007
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3609422303
Graduation Year
2024 (2 years ago)
PAC ID
3577084193
Group Practice PAC ID
4587552831
Professional Enrollment ID
I20250311002478
Address ID
WA985773016RA300XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for PAULINE S MEAD (MSN, APRN, PMHNP)

  • 2204 PACIFIC AVE N

    LONG BEACH, WA 986313300

    Phone: (360) 642-3787

    Type: Mailing

  • 216 VITSKARI #13

    SITKA, AK 99835

    Phone: (907) 738-1044

    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: 2025-03-11

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
I20250311002478INurse 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 98631)

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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: 4587552831View full group profile
NameSpecialtyState
Mental Health CounselorOR
Mental Health CounselorWA
Nurse PractitionerTX
-WA
-WA
Clinical Social WorkerWA
Clinical Social WorkerOR
-WA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is the registry number for PAULINE S MEAD (MSN, APRN, PMHNP)?
The registry entry for PAULINE S MEAD (MSN, APRN, PMHNP) shows NPI 1366578338.
Is PAULINE S MEAD (MSN, APRN, PMHNP)'s NPI status active today?
Active status means PAULINE S MEAD (MSN, APRN, PMHNP)'s NPI record is not deactivated in the public file.
How should patients interpret PAULINE S MEAD (MSN, APRN, PMHNP)'s specialty?
The extract shows Other Service Providers for PAULINE S MEAD (MSN, APRN, PMHNP). Clinical services aligned with this taxonomy classification.
Is PAULINE S MEAD (MSN, APRN, PMHNP) tied to Long Beach, Washington?
If you are local to Long Beach, Washington, PAULINE S MEAD (MSN, APRN, PMHNP) may be relevant to your search.
Can I export PAULINE S MEAD (MSN, APRN, PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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