PHILLIP LUTHER SHEALY (ARNP, FNP) – Family Nurse Practitioner, NPI 1811394935
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 PHILLIP LUTHER SHEALY (ARNP, FNP)
23745 225TH WAY SE
STE 201
MAPLE VALLEY, WA 980385294
Phone: (803) 943-8358
Type: Mailing
801 SW 16TH ST.
STE. 121
RENTON, WA 980572628
Phone: (206) 805-8885
Fax: (206) 805-8886
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: 2017-11-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20151109002177 | I | Nurse Practitioner | WA | TBD |
| I20171128003355 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 142 | 107 | $0 |
| 81003 | Automated urinalysis test | 73 | 66 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 21 | 20 | $0 |
Insurance plans in this area (ZIP 98038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Family Practice | ID | |
| Family Practice | WA |
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