LOVELY PAUL (ARNP) – Nurse Practitioner, NPI 1376852350
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,353 NURSE PRACTITIONER in CA
Provider Addresses for LOVELY PAUL (ARNP)
3600 LIND AVE SW
SUITE 100 ATTN CREDENTIALING
RENTON, WA 980574970
Phone: (425) 690-2715
Type: Mailing
1 EMBARCADERO CTR
SAN FRANCISCO, CA 941113628
Phone: (888) 663-6331
Type: Mailing
2 EMBARCADERO CTR LBBY LEVEL
SAN FRANCISCO, CA 941113823
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
521 2nd Pl N Ste 11-103
Kent, WA 980324537
Phone: (425) 690-3491
Fax: (425) 690-9091
Type: Location
5700 100th St SW
Lakewood, WA 984992752
Phone: (253) 474-2120
Type: Location
521 2ND PL N STE 11-103
KENT, WA 980324537
Phone: (425) 690-3491
Fax: (425) 690-9091
Type: Location
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: 2023-11-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101218000089 | I | Nurse Practitioner | WA | TBD |
| I20230605001828 | I | Nurse Practitioner | AK | TBD |
| I20231120003008 | I | Nurse Practitioner | OR | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 189 | 176 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 130 | 130 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 46 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 40 | 40 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 28 | 14 | $0 |
Insurance plans in this area (ZIP 98057)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | OR | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| - | MT | |
| Physician Assistant | WA |
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