MR. EDWARD GRADEN WORSMAN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1477987386
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for MR. EDWARD GRADEN WORSMAN (PMHNP)
707 W 13th St
Clark County Jail
Vancouver, WA 986602809
Phone: (369) 397-2211
Type: Location
7507 NE 51st St
Vancouver, WA 986626007
Phone: (360) 906-1190
Fax: (360) 906-1193
Type: Location
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE, AZ 852517630
Phone: (503) 233-5405
Fax: (503) 233-2696
Type: Mailing
4224 NE HALSEY ST STE 335
PORTLAND, OR 972131568
Phone: (503) 922-6616
Fax: (971) 209-7230
Type: Location
707 W 13TH ST
CLARK COUNTY JAIL
VANCOUVER, WA 986602809
Phone: (369) 397-2211
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2018-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180827002990 | I | Nurse Practitioner | WA | TBD |
| I20181001001391 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98660)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OR | |
| Nurse Practitioner | WA | |
| - | WA | |
| - | AL | |
| - | WA | |
| Nurse Practitioner | TX | |
| - | NY | |
| - | MN | |
| P S Y C H I A T R Y | OR | |
| - | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.