KAREN DAVIS TOSH (NP) – Primary Care Nurse Practitioner, NPI 1609386226
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
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Provider Addresses for KAREN DAVIS TOSH (NP)
4901, 108th Street Southwest, Bridgeport Way Apartments, Lakeview, Lakewood, Pierce County, Washington, 98499, United States
LAKEWOOD, WA 984993724
Phone: (253) 589-6484
Fax: (253) 984-1079
Type: Location
post box, 74th Street West, Wispering Pines, Lakewood, Pierce County, Washington, 98499-8398, United States
LAKEWOOD, WA 984968886
Phone: (253) 584-3577
Fax: (253) 584-8916
Type: Mailing
1815 COOKS HILL RD STE B
CENTRALIA, WA 985319170
Phone: (360) 807-5029
Fax: (360) 807-5051
Type: Mailing
1643 NW 136TH AVE BLDG H
SUNRISE, FL 333232857
Phone:
Fax: (253) 584-8916
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($134).
Total Amount
$216
General + Research + Ownership
Payments
6
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $134 |
| ABBVIE INC. | $55 |
| Pharmacyclics LLC, an AbbVie Company | $28 |
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: 2019-01-14
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 |
|---|---|---|---|---|
| I20190114000185 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 755 | 262 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 127 | 87 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 90 | 90 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 58 | 56 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 29 | 21 | $0 |
Insurance plans in this area (ZIP 98499)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| A N E S T H E S I O L O G Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Internal Medicine | WA | |
| U R O L O G Y | WA | |
| A N E S T H E S I O L O G Y | CA |
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