LEILANI M ATTILIO (NP) – Family Nurse Practitioner, NPI 1407334808

LEILANI M ATTILIO (NP) is a healthcare provider. based in Tacoma, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. SP032832 (PA). The NPI Number for LEILANI M ATTILIO (NP) is 1407334808

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LEILANI M ATTILIO (NP)
NPI
1407334808
Phone
(253) 722-2161
Address
1148 BROADWAY STE 100
Enumeration Date
30 July 2018
Last Update Date
15 March 2026

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6104311210
Graduation Year
2018 (8 years ago)
PAC ID
5799034328
Group Practice PAC ID
9537586672
Professional Enrollment ID
I20260128001082
Address ID
PA193804252WE1240XLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

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Provider Addresses for LEILANI M ATTILIO (NP)

  • 100, Broadway, Tacoma, Pierce County, Washington, 98402, United States

    TACOMA, WA 984023518

    Phone: (253) 722-2161

    Type: Mailing

  • 1202, Martin Luther King Jr Way, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States

    TACOMA, WA 984053926

    Phone: (253) 722-2161

    Type: Location

  • 1240 WRIGHTS LN

    WEST CHESTER, PA 193804252

    Phone: (610) 431-1210

    Type: Mailing

  • 929 S High St

    West Chester, PA 193825466

    Phone: (610) 859-4058

    Type: Location

  • 1918 CHURCH ST

    GONZALES, TX 786292118

    Phone: (830) 672-6511

    Type: Mailing

  • 1104 JEFFERSON AVE

    SEGUIN, TX 781555910

    Phone: (830) 379-9797

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Lundbeck LLC ($31).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2026-01-28

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
I20260128001082INurse PractitionerPATBD

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 98402)

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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: 9537586672View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
Nurse PractitionerPA
Internal MedicinePA
Nurse PractitionerPA
Family PracticePA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Family PracticePA

Reviews

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Frequently asked questions

Is LEILANI M ATTILIO (NP) listed with a National Provider Identifier?
Yes — LEILANI M ATTILIO (NP) has NPI 1407334808 on file in the registry.
Would LEILANI M ATTILIO (NP) appear as active to a payer?
You can treat LEILANI M ATTILIO (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is LEILANI M ATTILIO (NP)?
LEILANI M ATTILIO (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LEILANI M ATTILIO (NP)?
Directory geography for LEILANI M ATTILIO (NP) centers on Tacoma, Washington.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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