MARY C. NOUWENS (ARNP) – Nurse Practitioner, NPI 1780952358
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for MARY C. NOUWENS (ARNP)
501 S 5TH AVE
YAKIMA, WA 989023550
Phone: (509) 494-6700
Fax: (509) 573-6275
Type: Mailing
521 E MOUNTAIN VIEW AVE
ELLENSBURG, WA 989263865
Phone: (509) 962-1414
Fax: (509) 962-1408
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $112.
Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Organogenesis Inc. ($40).
Total Amount
$112
General + Research + Ownership
Payments
4
Total payment records
General Amount
$112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $40 |
| MIMEDX Group, Inc. | $30 |
| Solventum Corporation | $27 |
| Aroa Biosurgery Incorporated | $15 |
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: 2012-02-10
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 |
|---|---|---|---|---|
| I20120210000049 | 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 98902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Emergency Medicine | WA | |
| General Surgery | WA | |
| Cardiac Electrophysiology, Internal Medicine | MN | |
| O T O L A R Y N G O L O G Y | WA | |
| Family Practice | WA | |
| Physician Assistant | WA | |
| Physician Assistant | ID | |
| - | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA |
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