HENRIETTA LORENA MAYUGA (MD) – Family Medicine Physician, NPI 1497719256
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for HENRIETTA LORENA MAYUGA (MD)
West Deschutes Avenue, Kennewick, Benton County, Washington, 99301, United States
SUITE 101
KENNEWICK, WA 993367801
Phone: (509) 222-1260
Fax: (509) 222-1264
Type: Mailing
7131, West Deschutes Avenue, Kennewick, Benton County, Washington, 99336, United States
SUITE 101
KENNEWICK, WA 99336
Phone: (509) 222-1260
Fax: (509) 222-1264
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 95 Open Payments records for all available years, with a total value of $1,805.
Total Amount is formed as General ($1,805) + Research ($0) + Ownership ($0) = $1,805.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($516).
Total Amount
$1,805
General + Research + Ownership
Payments
95
Total payment records
General Amount
$1,805
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $516 |
| PFIZER INC. | $272 |
| AstraZeneca Pharmaceuticals LP | $246 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $116 |
| GlaxoSmithKline, LLC. | $99 |
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: 2004-07-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040720000013 | I | Family Practice | WA | 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 99336)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WA | |
| P O D I A T R Y | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Family Practice | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| - | WA |
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