AMY PICONE (MD) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1790282010
Hospice and Palliative Medicine (Family Medicine) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for AMY PICONE (MD)
3525 ENSIGN RD NE STE F
OLYMPIA, WA 985065065
Phone: (480) 809-5350
Type: Mailing
413 LILLY RD NE
OLYMPIA, WA 985065133
Phone: (360) 493-7802
Type: Location
605, North 12th Street, Garfield, Central City, Phoenix, Maricopa County, Arizona, 85006, United States
PHOENIX, AZ 850062850
Phone: (602) 839-4567
Type: Location
9300 CAMPUS POINT DR # MC7196
LA JOLLA, CA 920371300
Phone: (858) 534-9061
Type: Mailing
209 Martin Luther King Jr Way
Tacoma, WA 984054265
Phone: (253) 596-3300
Fax: (253) 596-3301
Type: Location
9300 Campus Point Dr # Mc7196
LA Jolla, CA 920371300
Phone: (858) 534-9061
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: 2022-09-07
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 |
|---|---|---|---|---|
| I20220907002479 | I | Family Practice | 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 98506)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Hospice/Palliative Care | WA | |
| Internal Medicine, Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | WA | |
| Nurse Practitioner | WA | |
| - | OR | |
| - | OR | |
| - | WA | |
| Hospice/Palliative Care | CA | |
| Family Practice, Hospice/Palliative Care | OR | |
| - | WA | |
| - | WA |
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