ANDREY KOROLEV – Psychiatric/Mental Health Nurse Practitioner, NPI 1588466874

ANDREY KOROLEV is a healthcare provider. based in Lynnwood, Washington. specializing in NURSE PRACTITIONER. They hold a License No. AP61654686 (WA). The NPI Number for ANDREY KOROLEV is 1588466874

Main info

Male
Sole Proprietor
2 Years Of Experience
Name
ANDREY KOROLEV
NPI
1588466874
Phone
Not provided
Address
418 143RD PL SW
Enumeration Date
26 March 2025
Last Update Date
26 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4257424600
Graduation Year
2024 (2 years ago)
PAC ID
1052812864
Group Practice PAC ID
9638070501
Professional Enrollment ID
I20250902002043
Address ID
WA982084267EV10333SEXX405
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 ANDREY KOROLEV

  • 418 143RD PL SW

    LYNNWOOD, WA 980876728

    Phone:

    Mailing address matches the actual address.

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: 2025-09-02

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
I20250902002043INurse 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 98087)

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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: 9638070501View full group profile
NameSpecialtyState
Nurse PractitionerWA
-CA
Nurse PractitionerWA
Psychiatry, Geriatric PsychiatryWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
P S Y C H I A T R YWA
-WA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What unique ID ties claims to ANDREY KOROLEV?
NPI 1588466874 is assigned to ANDREY KOROLEV under the national enumeration system.
Does this profile mean ANDREY KOROLEV is currently active?
Yes — ANDREY KOROLEV appears active in the national provider directory.
Does ANDREY KOROLEV list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for ANDREY KOROLEV. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDREY KOROLEV?
The page summarizes Lynnwood, Washington for ANDREY KOROLEV; expand the address list for detail.
Is ANDREY KOROLEV a real provider?
This page reflects official NPPES data for NPI 1588466874. Always confirm identity and privileges with the practice and licensing boards.

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