CHARLENE HALLOWELL ADELS – Physician Assistant, NPI 1700068764
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for CHARLENE HALLOWELL ADELS
1456, East Sumach Street, Walla Walla, Walla Walla County, Washington, 99362, United States
WALLA WALLA, WA 993628010
Phone: (509) 301-0013
Type: Mailing
1274 7th St Ste A
Port Townsend, WA 983682404
Phone: (360) 385-2204
Fax: (360) 385-3095
Type: Location
834 SHERIDAN ST
PORT TOWNSEND, WA 983682443
Phone: (360) 385-2200
Type: Mailing
915, Sheridan Street, Sea Breeze Mobile Home Park, Port Townsend, Jefferson County, Washington, 98368, United States
PORT TOWNSEND, WA 983682931
Phone: (360) 385-4848
Fax: (360) 379-4383
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: 2017-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171219000622 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| - | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology | AK | |
| Nurse Practitioner | OR | |
| Family Practice | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| - | WA |
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