JANE MAUREEN EGBUFOAMA (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417469248

JANE MAUREEN EGBUFOAMA (PMHNP-BC) is a healthcare provider. based in Mountlake terrace, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. AP61503070 (WA). The NPI Number for JANE MAUREEN EGBUFOAMA (PMHNP-BC) is 1417469248

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JANE MAUREEN EGBUFOAMA (PMHNP-BC)
NPI
1417469248
Phone
(425) 678-6463
Address
6505 216th St SW Ste 100
Enumeration Date
2 November 2017
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8555011004
Graduation Year
2018 (8 years ago)
PAC ID
6709132020
Group Practice PAC ID
0143478305
Professional Enrollment ID
I20230510000158
Address ID
CA958153318SA2180XSTXX301
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:8State licenses:3Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for JANE MAUREEN EGBUFOAMA (PMHNP-BC)

  • 6505 216th St SW Ste 100

    Mountlake Terrace, WA 980432089

    Phone: (425) 678-6463

    Type: Location

  • PO BOX 5328

    COLUMBUS, GA 319060328

    Phone: (706) 596-5500

    Type: Mailing

  • 2180 Harvard St Ste 210

    Sacramento, CA 958153318

    Phone: (916) 567-3500

    Type: Location

  • Columbus Health Department, 2100, Comer Avenue, Rose Hill, Columbus, Muscogee County, Georgia, 31904, United States

    COLUMBUS, GA 319048725

    Phone: (706) 596-5500

    Fax: (706) 596-5500

    Type: Location

  • 100 N HOWARD ST # 6221

    SPOKANE, WA 992010508

    Phone: (509) 350-2756

    Type: Mailing

  • 6505 216TH ST SW STE 100

    MOUNTLAKE TERRACE, WA 980432089

    Phone: (425) 678-6463

    Type: Location

  • 3835 N FREEWAY BLVD STE 100

    SACRAMENTO, CA 958341954

    Phone:

    Type: Mailing

  • 2180 HARVARD ST STE 210

    SACRAMENTO, CA 958153318

    Phone: (855) 501-1004

    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: 2024-10-01

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
I20180628002570INurse PractitionerGATBD
I20230510000158INurse PractitionerCATBD
I20241001001985INurse 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 98043)

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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: 0143478305View full group profile
NameSpecialtyState
P S Y C H I A T R YNY
P S Y C H I A T R YCA
Nurse PractitionerCA
P S Y C H I A T R YCA
Nurse PractitionerCA
P S Y C H I A T R YCA
Clinical PsychologistCA
P S Y C H I A T R YCA
P S Y C H I A T R YSD
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

What is JANE MAUREEN EGBUFOAMA (PMHNP-BC)'s NPI number?
JANE MAUREEN EGBUFOAMA (PMHNP-BC)'s NPI is 1417469248 — the number used across U.S. healthcare to identify this provider.
Would JANE MAUREEN EGBUFOAMA (PMHNP-BC) appear as active to a payer?
You can treat JANE MAUREEN EGBUFOAMA (PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JANE MAUREEN EGBUFOAMA (PMHNP-BC)?
JANE MAUREEN EGBUFOAMA (PMHNP-BC) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is JANE MAUREEN EGBUFOAMA (PMHNP-BC) registered?
Use Mountlake Terrace, Washington as the headline location for JANE MAUREEN EGBUFOAMA (PMHNP-BC) here.
Does JANE MAUREEN EGBUFOAMA (PMHNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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