JEAN MARIE RIQUELME (MD) – Family Medicine Physician, NPI 1568446128
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for JEAN MARIE RIQUELME (MD)
PO BOX 960
BREMERTON, WA 983370212
Phone: (360) 377-3776
Fax: (360) 373-2096
Type: Mailing
2508, Wheaton Way, Sheridan Park, Bremerton, Kitsap County, Washington, 98310, United States
BREMERTON, WA 983103303
Phone: (360) 377-3776
Fax: (360) 373-2096
Type: Location
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
100 N NINE MOUND RD
VERONA, WI 535931032
Phone: (608) 845-9531
Type: Location
608 WEST BROWN ST
WAUPUN, WI 539631702
Phone: (920) 324-6801
Fax: (360) 373-2096
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2013-02-05
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 |
|---|---|---|---|---|
| I20041001001040 | I | Family Practice | WI | TBD |
| I20130205000548 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 160 | 154 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 84 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 48 | 44 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 19 | 19 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 14 | 14 | $0 |
Insurance plans in this area (ZIP 98337)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 85610 | Blood test, clotting time | 121 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MD | |
| - | WI | |
| Pediatric Medicine, Internal Medicine | WI | |
| Hospitalist, Family Practice | WI | |
| Family Practice | CA | |
| - | WI | |
| Family Practice | WI | |
| - | WI | |
| Clinical Social Worker | WI | |
| Family Practice | WI |
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