MELANIE JOAN ANTONICH (ARNP, CNM) – Advanced Practice Midwife, NPI 1710262498
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MELANIE JOAN ANTONICH (ARNP, CNM)
555 Andover Park W Ste 200
Tukwila, WA 981883379
Phone: (888) 803-3370
Type: Location
9700 N 91st St Ste A115
Scottsdale, AZ 852585036
Phone: (888) 803-3370
Type: Location
PO BOX 3360
PORTLAND, OR 972083360
Phone: (866) 366-2983
Type: Mailing
916 PACIFIC AVE 2ND FLOOR
EVERETT, WA 98201
Phone: (425) 303-6500
Fax: (425) 303-6550
Type: Location
945 GOETHALS DR STE 200
RICHLAND, WA 993523552
Phone: (509) 942-2555
Fax: (509) 942-2340
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: 2012-11-16
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 |
|---|---|---|---|---|
| I20121116000358 | 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 98188)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology, Hematology, Hematology/Oncology, Internal Medicine | WA | |
| - | MO | |
| Hospitalist, Internal Medicine | WA | |
| - | WA | |
| P O D I A T R Y | WA | |
| Hematology/Oncology, Internal Medicine | WA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | NC | |
| Physician Assistant | WA | |
| Internal Medicine | WA |
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