CHRISTIAN PODACA (RN) – Hemodialysis Registered Nurse, NPI 1629788336

CHRISTIAN PODACA (RN) is a healthcare provider. based in Tacoma, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 2024089462 (GA). The NPI Number for CHRISTIAN PODACA (RN) is 1629788336

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIAN PODACA (RN)
NPI
1629788336
Phone
(253) 207-4850
Address
1708 Yakima Ave Ste 107
Enumeration Date
5 December 2022
Last Update Date
10 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046457150
Graduation Year
2019 (7 years ago)
PAC ID
8921521832
Group Practice PAC ID
4082606496
Professional Enrollment ID
I20250401003268
Address ID
GA300468762LA595XXNWXX501
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:3State licenses:3Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for CHRISTIAN PODACA (RN)

  • 1708 Yakima Ave Ste 107

    Tacoma, WA 984055300

    Phone: (253) 207-4850

    Type: Location

  • 4104 PEACHFORD CIR

    DUNWOODY, GA 303386488

    Phone: (470) 774-5756

    Type: Mailing

  • 595 HURRICANE SHOALS RD NW STE 100

    LAWRENCEVILLE, GA 300468762

    Phone: (404) 645-7150

    Fax: (404) 645-7177

    Type: Location

  • 4204 PEACHFORD CIR

    DUNWOODY, GA 303386490

    Phone:

    Type: Mailing

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: 2025-04-01

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
I20250401003268INurse PractitionerGATBD

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 98405)

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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: 4082606496View full group profile
NameSpecialtyState
Nephrology, Internal MedicineGA
Nurse PractitionerGA
N E P H R O L O G YGA
Nurse PractitionerGA
-GA
Hospitalist, NephrologyKY
-GA
Nurse PractitionerGA
N E P H R O L O G YGA
Internal Medicine, NephrologyGA

Reviews

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Frequently asked questions

What is CHRISTIAN PODACA (RN)'s NPI number?
CHRISTIAN PODACA (RN)'s NPI is 1629788336 — the number used across U.S. healthcare to identify this provider.
Is CHRISTIAN PODACA (RN) still an active registrant?
CHRISTIAN PODACA (RN) carries an active NPI according to the public dataset.
What expertise is attributed to CHRISTIAN PODACA (RN)?
CHRISTIAN PODACA (RN)'s specialty line reads Hemodialysis Registered Nurse. Clinical services aligned with this taxonomy classification.
Is CHRISTIAN PODACA (RN) located near Tacoma?
CHRISTIAN PODACA (RN) currently maps to Tacoma, Washington in this extract.
Does CHRISTIAN PODACA (RN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.