KIMBERLY MARIE LAVENDER (ARNP) – Nurse Practitioner, NPI 1619261930
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for KIMBERLY MARIE LAVENDER (ARNP)
16504 9TH AVE SE
SUITE 106
MILL CREEK, WA 980126396
Phone: (425) 977-4620
Fax: (425) 745-9836
Type: Mailing
11800 NE 128TH ST
SUITE 100
KIRKLAND, WA 980347208
Phone: (425) 899-4500
Fax: (425) 899-4510
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,097.
Total Amount is formed as General ($1,097) + Research ($0) + Ownership ($0) = $1,097.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Celgene Corporation ($286).
Total Amount
$1,097
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,097
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Celgene Corporation | $286 |
| PFIZER INC. | $175 |
| Regeneron Healthcare Solutions, Inc. | $115 |
| GENZYME CORPORATION | $94 |
| ABBVIE INC. | $65 |
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: 2015-10-20
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 |
|---|---|---|---|---|
| I20151020000801 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 146 | 130 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 81 | 81 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 21 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| G A S T R O E N T E R O L O G Y | WA | |
| G A S T R O E N T E R O L O G Y | WA | |
| Nurse Practitioner | WA | |
| G A S T R O E N T E R O L O G Y | WA | |
| G A S T R O E N T E R O L O G Y | WA | |
| Physician Assistant | WA | |
| Gastroenterology, Internal Medicine | WA |
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