CARIJEAN QUEEN (MD) – Internal Medicine Physician, NPI 1679566996

CARIJEAN QUEEN (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00034984 (WA). The NPI Number for CARIJEAN QUEEN (MD) is 1679566996

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
CARIJEAN QUEEN (MD)
NPI
1679566996
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
23 August 2005
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
3072592450
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20040719000768
Address ID
WA992163522SP16528CTXX400
Telehealth
Yes

Contacts

Secure Messaging
cqueen311269@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,056 INTERNAL MEDICINE in WA

Provider Addresses for CARIJEAN QUEEN (MD)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Fax: (509) 227-7070

    Type: Mailing

  • 16528 E DESMET CT STE B3100

    SPOKANE VALLEY, WA 992163522

    Phone: (509) 944-9440

    Fax: (509) 227-7070

    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: 2004-07-19

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
I20040719000768IInternal MedicineWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes364230$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit293293$0
99213Established patient office or other outpatient visit, 20-29 minutes228203$0
99215Established patient office or other outpatient visit, 40-54 minutes5747$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional3018$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

What federal number belongs to CARIJEAN QUEEN (MD)?
The federal identifier for CARIJEAN QUEEN (MD) is NPI 1679566996.
Is CARIJEAN QUEEN (MD)'s NPI currently valid?
The extract we use shows CARIJEAN QUEEN (MD) as active.
What kind of provider is CARIJEAN QUEEN (MD)?
The page reflects Internal Medicine Physician for CARIJEAN QUEEN (MD). Clinical services aligned with this taxonomy classification.
What location shows for CARIJEAN QUEEN (MD)?
We surface Liberty Lake, Washington for CARIJEAN QUEEN (MD) based on available NPPES addresses.
What if Liberty Lake, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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