DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1467107474

DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC) is a healthcare provider. based in Olympia, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, ARNP, PMHNP-BC. They hold a License No. RN60965690 (WA). The NPI Number for DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC) is 1467107474

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC)
NPI
1467107474
Phone
(360) 704-7170
Address
3857 Martin Way E
Enumeration Date
17 February 2022
Last Update Date
29 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4254058089
Graduation Year
2022 (4 years ago)
PAC ID
8628445277
Group Practice PAC ID
3476815051
Professional Enrollment ID
I20221110001696
Address ID
WA982756038MU4686XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC)

  • 3857 Martin Way E

    Olympia, WA 985065268

    Phone: (360) 704-7170

    Type: Location

  • 3857 MARTIN WAY E

    OLYMPIA, WA 985065268

    Phone:

    Type: Mailing

  • 4686 POINTES DR STE 219

    MUKILTEO, WA 982756038

    Phone: (425) 405-8069

    Type: Location

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 $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Alkermes, Inc. ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$100
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: 2022-11-10

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
I20221110001696INurse 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 98506)

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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: 3476815051View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

How do I look up DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC) by NPI?
Use NPI 1467107474 when you need to reference DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC) in forms, claims, or directories.
Is DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC). Clinical services aligned with this taxonomy classification.
Does DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC) practice in Washington?
You will see Olympia, Washington on file for DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC) alongside any extra practice locations.
How can I contact DR. MARIO ALBERTO VELASQUEZ (DNP, ARNP, PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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