MS. NANCY ELAINE FONG (FNP) – Family Nurse Practitioner, NPI 1700945649
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MS. NANCY ELAINE FONG (FNP)
6060 Portal Way
Ferndale, WA 982487833
Phone: (360) 676-6177
Fax: (360) 671-3574
Type: Location
1616 Cornwall Ave Ste 205
Bellingham, WA 982254642
Phone: (360) 676-6177
Fax: (360) 671-3574
Type: Location
686 W Line St
Bishop, CA 935143315
Phone: (760) 873-4373
Fax: (760) 873-3951
Type: Location
153 Pioneer Ln
Bishop, CA 935142517
Phone: (760) 873-2849
Type: Location
528 MYRTLE STREET
LA CONNER, WA 98257
Phone: (360) 466-3136
Fax: (360) 466-0107
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 258-3900
Type: Mailing
153, Pioneer Lane, Bishop, Inyo County, California, 93514, United States
BISHOP, CA 935142517
Phone: (760) 873-2849
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: 2022-11-07
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 |
|---|---|---|---|---|
| I20221107001118 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98248)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WA | |
| - | WA | |
| P A T H O L O G Y | TN | |
| Nurse Practitioner | WA | |
| Diagnostic Radiology | WA | |
| Nurse Practitioner | WA | |
| Physical Therapist In Private Practice | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| Emergency Medicine | OR |
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