KATHLEEN MARIE STIDHAM (ARNP) – Family Nurse Practitioner, NPI 1487814331

KATHLEEN MARIE STIDHAM (ARNP) is a healthcare provider. based in Pasco, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP30007315 (WA). The NPI Number for KATHLEEN MARIE STIDHAM (ARNP) is 1487814331

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MARIE STIDHAM (ARNP)
NPI
1487814331
Phone
(509) 546-2231
Address
520 N 4TH AVE
Enumeration Date
13 June 2008
Last Update Date
13 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
5395818801
Group Practice PAC ID
8729145677
Professional Enrollment ID
I20080728000729
Address ID
WA993524723Ri1295XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

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Provider Addresses for KATHLEEN MARIE STIDHAM (ARNP)

  • 520, 4th Avenue, Pasco, Franklin County, Washington, 99301, United States

    PASCO, WA 993015257

    Phone: (509) 546-2231

    Fax: (509) 543-2488

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 138 Open Payments records for all available years, with a total value of $2,582.

Total Amount is formed as General ($2,582) + Research ($0) + Ownership ($0) = $2,582.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($537).

Total Amount

$2,582

General + Research + Ownership

Payments

138

Total payment records

General Amount

$2,582

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2008-07-28

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
I20080728000729INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes523387$0
17003Destruction of precancer skin growth, 2-14 growths35182$0
17110Destruction of skin growth, 1-14 growths227185$0
17000Destruction of precancer skin growth, 1 growth205151$0
99214Established patient office or other outpatient visit, 30-39 minutes197153$0
View full utilization report →

Insurance plans in this area (ZIP 99301)

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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: 8729145677View full group profile
NameSpecialtyState
D E R M A T O L O G YWA
Family PracticeWA
Physician AssistantWA
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerWA
Radiation OncologyCA

Reviews

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Frequently asked questions

What is the standard ID for KATHLEEN MARIE STIDHAM (ARNP) in the U.S.?
In the U.S., KATHLEEN MARIE STIDHAM (ARNP) is identified by NPI 1487814331.
Is KATHLEEN MARIE STIDHAM (ARNP)'s NPI status active today?
Active status means KATHLEEN MARIE STIDHAM (ARNP)'s NPI record is not deactivated in the public file.
How should patients interpret KATHLEEN MARIE STIDHAM (ARNP)'s specialty?
The extract shows Family Nurse Practitioner for KATHLEEN MARIE STIDHAM (ARNP). Clinical services aligned with this taxonomy classification.
Is KATHLEEN MARIE STIDHAM (ARNP) tied to Pasco, Washington?
If you are local to Pasco, Washington, KATHLEEN MARIE STIDHAM (ARNP) may be relevant to your search.
Why is information missing for KATHLEEN MARIE STIDHAM (ARNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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