JUDY ANN DEBOER (FNP-BC) – Family Nurse Practitioner, NPI 1649558974

JUDY ANN DEBOER (FNP-BC) is a healthcare provider. based in Vancouver, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. AP60569994 (WA). The NPI Number for JUDY ANN DEBOER (FNP-BC) is 1649558974

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JUDY ANN DEBOER (FNP-BC)
NPI
1649558974
Phone
Not provided
Address
508 NE 83RD ST
Enumeration Date
3 August 2011
Last Update Date
12 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9523952500
Graduation Year
2011 (15 years ago)
PAC ID
3870768112
Group Practice PAC ID
1658754015
Professional Enrollment ID
I20251009000343
Address ID
MN553787103SA14020SXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:14State licenses:5Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for JUDY ANN DEBOER (FNP-BC)

  • 508 NE 83RD ST

    VANCOUVER, WA 986658121

    Phone:

    Type: Mailing

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 568-7043

    Type: Mailing

  • 6300 E LAKE SAMMAMISH PKWY SE

    ISSAQUAH, WA 980298935

    Phone: (888) 227-3312

    Fax: (888) 227-3314

    Type: Location

  • 14020 HWY 13 S STE 350

    SAVAGE, MN 553787103

    Phone: (952) 395-2500

    Type: Location

  • 1057 Madison Ave

    Mankato, MN 560016143

    Phone: (952) 395-2500

    Type: Location

  • 10995 Club West Pkwy Ste 400

    Blaine, MN 554495862

    Phone: (952) 395-2500

    Type: Location

  • 7300 France Ave S Ste 100

    Edina, MN 554354541

    Phone: (952) 395-2500

    Type: Location

  • 800 5th Ave Ste 900

    Seattle, WA 981043176

    Phone: (888) 227-3312

    Fax: (888) 227-3314

    Type: Location

  • 4400 NE Halsey St.

    Bldg 2, 3rd Floor

    Portland, OR 97213

    Phone: (888) 227-3312

    Type: Location

  • 1560 Beam Ave Ste C

    Maplewood, MN 551091171

    Phone: (952) 395-2500

    Type: Location

  • PO BOX 3229

    PORTLAND, OR 972083229

    Phone:

    Type: Mailing

  • 4400 NE HALSEY ST.

    BLDG 2, 3RD FLOOR

    PORTLAND, OR 97213

    Phone: (888) 227-3312

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-09

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
I20251009000343INurse PractitionerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99202New patient office or other outpatient visit, 15-29 minutes5454$0
99213Established patient office or other outpatient visit, 20-29 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 98665)

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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: 1658754015View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMN
Physician AssistantMN
A L L E R G Y/ I M M U N O L O G YMN
O T O L A R Y N G O L O G YMN
Qualified AudiologistMN

Reviews

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Frequently asked questions

Can I verify JUDY ANN DEBOER (FNP-BC) with an NPI only?
You can start verification with NPI 1649558974 for JUDY ANN DEBOER (FNP-BC), then check state licensing separately.
Does the file indicate JUDY ANN DEBOER (FNP-BC) is practicing under active NPI?
Directory data currently reports JUDY ANN DEBOER (FNP-BC) as active.
What healthcare role does JUDY ANN DEBOER (FNP-BC) hold?
Scheduling teams often label JUDY ANN DEBOER (FNP-BC) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect JUDY ANN DEBOER (FNP-BC) on a map?
Expect Vancouver, Washington as a primary anchor for JUDY ANN DEBOER (FNP-BC) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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