TANYA NEELY – Family Nurse Practitioner, NPI 1760008908
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for TANYA NEELY
6811 S 204TH ST
STE 280
KENT, WA 980321352
Phone: (360) 749-9120
Type: Mailing
1615 DELAWARE ST
LONGVIEW, WA 986322367
Phone: (360) 636-4847
Type: Location
131 MCKALL CT
KELSO, WA 986262256
Phone: (360) 749-9120
Fax: (855) 790-9134
Type: Mailing
4550 KRUSE WAY STE 125
LAKE OSWEGO, OR 970353533
Phone: (503) 369-3135
Fax: (855) 790-9134
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: 2021-06-25
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 |
|---|---|---|---|---|
| I20210625000576 | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 528 | 206 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 339 | 54 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 297 | 55 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 181 | 43 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 78 | 62 | $0 |
Insurance plans in this area (ZIP 98032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Internal Medicine, Infectious Disease | PA | |
| Internal Medicine | WA | |
| Diagnostic Radiology | OR | |
| Internal Medicine | OR | |
| O P H T H A L M O L O G Y | IA | |
| - | OR | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CA |
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