DR. DTAWAHN SEXTON (DNP, FNP-BC, RN) – Family Nurse Practitioner, NPI 1568905107
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for DR. DTAWAHN SEXTON (DNP, FNP-BC, RN)
450 S Kitsap Blvd
Port Orchard, WA 983663773
Phone: (360) 874-5900
Fax: (253) 952-6824
Type: Location
450 S KITSAP BLVD
PORT ORCHARD, WA 983663773
Phone: (360) 874-5900
Fax: (253) 952-6824
Type: Location
504, Seymour Street, Joree Springs, Valdosta, Lowndes County, Georgia, 31602, United States
VALDOSTA, GA 316021814
Phone: (229) 506-2204
Type: Mailing
8695 COMMERCE DR STE 5
EASTON, MD 216017485
Phone: (410) 822-5575
Fax: (410) 770-3258
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $261.
Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.
Last reported payment date: 2024-08-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($104).
Total Amount
$261
General + Research + Ownership
Payments
10
Total payment records
General Amount
$261
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-06-17
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 |
|---|---|---|---|---|
| I20250617000872 | I | Nurse Practitioner | MD | 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 98366)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease (Cardiology) | MD | |
| Internal Medicine, Critical Care (Intensivists) | MD | |
| Sports Medicine, Family Practice | VA | |
| - | MD | |
| Nurse Practitioner | MD | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MD | |
| Internal Medicine | MD | |
| Internal Medicine | MD | |
| Nurse Practitioner | MD |
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