DENISE LEE RADDATZ (ARNP, AGNP-C) – Nurse Practitioner, NPI 1558193219

DENISE LEE RADDATZ (ARNP, AGNP-C) is a healthcare provider. based in Spanaway, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP, AGNP-C. They hold a License No. AG07240176 (WA). The NPI Number for DENISE LEE RADDATZ (ARNP, AGNP-C) is 1558193219

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DENISE LEE RADDATZ (ARNP, AGNP-C)
NPI
1558193219
Phone
(931) 614-8824
Address
2006 186TH STREET CT E
Enumeration Date
20 August 2024
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
4981130648
Group Practice PAC ID
6204154420
Professional Enrollment ID
I20241205001807
Address ID
WA984241160FI3700X100X500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for DENISE LEE RADDATZ (ARNP, AGNP-C)

  • 2006 186TH STREET CT E

    SPANAWAY, WA 983875168

    Phone: (931) 614-8824

    Type: Mailing

  • 3700 PACIFIC HWY E STE 100

    FIFE, WA 984241160

    Phone: (253) 382-6300

    Fax: (253) 382-6301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $271.

Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($60).

Total Amount

$271

General + Research + Ownership

Payments

13

Total payment records

General Amount

$271

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2024-12-05

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
I20241205001807INurse 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 98387)

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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: 6204154420View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineOH
H E M A T O L O G Y/ O N C O L O G YWA

Reviews

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Frequently asked questions

What federal number belongs to DENISE LEE RADDATZ (ARNP, AGNP-C)?
The federal identifier for DENISE LEE RADDATZ (ARNP, AGNP-C) is NPI 1558193219.
Is DENISE LEE RADDATZ (ARNP, AGNP-C)'s NPI currently valid?
The extract we use shows DENISE LEE RADDATZ (ARNP, AGNP-C) as active.
Can you summarize DENISE LEE RADDATZ (ARNP, AGNP-C)'s specialty in plain language?
Clinically, the directory lists DENISE LEE RADDATZ (ARNP, AGNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DENISE LEE RADDATZ (ARNP, AGNP-C) practice in Washington?
You will see Spanaway, Washington on file for DENISE LEE RADDATZ (ARNP, AGNP-C) alongside any extra practice locations.
How can I contact DENISE LEE RADDATZ (ARNP, AGNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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