DR. ADRIANNE PAPOFF-WALLACE (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366911679

DR. ADRIANNE PAPOFF-WALLACE (ARNP) is a healthcare provider. based in Fife, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP61173244 (WA). The NPI Number for DR. ADRIANNE PAPOFF-WALLACE (ARNP) is 1366911679

Main info

Female
Sole Proprietor
5 Years Of Experience
Name
DR. ADRIANNE PAPOFF-WALLACE (ARNP)
NPI
1366911679
Phone
(253) 533-5768
Address
3203 WILTON LN E
Enumeration Date
15 November 2018
Last Update Date
15 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535335768
Graduation Year
2021 (5 years ago)
PAC ID
5193128148
Group Practice PAC ID
1557752110
Professional Enrollment ID
I20210728001378
Address ID
WA984242315FI3203XEXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for DR. ADRIANNE PAPOFF-WALLACE (ARNP)

  • 3203 WILTON LN E

    FIFE, WA 984242315

    Phone: (253) 533-5768

    Fax: (866) 638-7530

    Type: Mailing

  • 2150 Freeman Rd E Ste 1

    Fife, WA 984243776

    Phone: (253) 922-7833

    Fax: (253) 922-7611

    Type: Location

  • Freeman Road East, Milton, Pierce County, Washington, 98424-1993, United States

    FIFE, WA 984243776

    Phone: (253) 922-7833

    Fax: (253) 922-7611

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Sage Therapeutics, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Sage Therapeutics, Inc.$26
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: 2021-07-28

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
I20210728001378INurse 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 98424)

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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: 1557752110View full group profile
NameSpecialtyState
Nurse PractitionerFL
Clinical Social WorkerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ADRIANNE PAPOFF-WALLACE (ARNP)?
DR. ADRIANNE PAPOFF-WALLACE (ARNP) — NPI 1366911679 — is the standard way to identify this listing.
Can I rely on DR. ADRIANNE PAPOFF-WALLACE (ARNP) being an active provider?
As of the registry snapshot, DR. ADRIANNE PAPOFF-WALLACE (ARNP) is marked active.
What taxonomy line describes DR. ADRIANNE PAPOFF-WALLACE (ARNP)?
For research purposes, treat DR. ADRIANNE PAPOFF-WALLACE (ARNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. ADRIANNE PAPOFF-WALLACE (ARNP) based?
DR. ADRIANNE PAPOFF-WALLACE (ARNP) is tied to Fife, Washington in the data we show; additional addresses may exist on the full record.
Why does DR. ADRIANNE PAPOFF-WALLACE (ARNP) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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