MRS. PHYLLIS A FERGUSON (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1659476505
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MRS. PHYLLIS A FERGUSON (ARNP)
12233 116TH AVE NE
SUITE 102
KIRLAND, WA 980346911
Phone: (425) 820-2440
Fax: (425) 820-8616
Type: Location
11415 NE 128th St Ste 100
Kirkland, WA 980346314
Phone: (425) 820-2440
Fax: (425) 820-8616
Type: Location
116th Avenue Northeast, Kirkland, King County, Washington, 98011, United States
SUITE 102
KIRKLAND, WA 980346911
Phone: (425) 820-2440
Fax: (425) 820-8616
Type: Mailing
PO BOX 2718
STANWOOD, WA 982922718
Phone: (425) 820-2440
Fax: (425) 820-8616
Type: Mailing
9416 271ST ST NW
STANWOOD, WA 982928094
Phone: (425) 820-2440
Type: Location
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: 2006-03-13
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 |
|---|---|---|---|---|
| I20060313000179 | 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 |
|---|---|---|---|---|
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 54 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 12 | $0 |
Insurance plans in this area (ZIP 98034)
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