ERIC LLOYD RENK (PA-C) – Medical Physician Assistant, NPI 1568659910
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for ERIC LLOYD RENK (PA-C)
2401, Bristol Court Southwest, Olympia, Thurston County, Washington, 98502, United States
A104
OLYMPIA, WA 985026003
Phone: (360) 819-4289
Type: Mailing
714 W PINE ST BLDG C
NEWPORT, WA 991569046
Phone: (509) 447-3139
Type: Location
2401 Bristol Ct SW
A104
Olympia, WA 985026003
Phone: (360) 819-4289
Type: Location
600 Orondo Ave Ste 1
Wenatchee, WA 988012800
Phone: (509) 662-6000
Type: Location
940 Eastmont Ave
East Wenatchee, WA 988026602
Phone: (509) 884-9000
Type: Location
105 S Apple Blossom Dr
Chelan, WA 988168810
Phone: (509) 682-6000
Type: Location
714 W PINE ST
NEWPORT, WA 991569046
Phone: (509) 447-3139
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($35).
Total Amount
$75
General + Research + Ownership
Payments
4
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $35 |
| Organogenesis Inc. | $26 |
| GlaxoSmithKline, LLC. | $14 |
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: 2007-11-07
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 |
|---|---|---|---|---|
| I20071107000742 | I | Physician Assistant | 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 98502)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| - | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Internal Medicine | WA | |
| Family Practice | WA | |
| Nurse Practitioner | WA | |
| Clinical Psychologist | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA |
Reviews
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