TARA ELIZABETH TUMULTY (C.P.N.P.) – Pediatric Nurse Practitioner, NPI 1831478346

TARA ELIZABETH TUMULTY (C.P.N.P.) is a healthcare provider. based in Olympia, Washington. specializing in Pediatric Nurse Practitioner. They hold the professional credentials C.P.N.P.. They hold a License No. N360240214 (WA). The NPI Number for TARA ELIZABETH TUMULTY (C.P.N.P.) is 1831478346

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TARA ELIZABETH TUMULTY (C.P.N.P.)
NPI
1831478346
Phone
(617) 877-6784
Address
1519 OAK AVE NE
Enumeration Date
15 August 2011
Last Update Date
16 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2069872000
Graduation Year
2011 (15 years ago)
PAC ID
1153608054
Group Practice PAC ID
9032021050
Professional Enrollment ID
I20170502001616
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for TARA ELIZABETH TUMULTY (C.P.N.P.)

  • 1519 OAK AVE NE

    OLYMPIA, WA 985064323

    Phone: (617) 877-6784

    Type: Mailing

  • 4800 SAND POINT WAY NE

    SEATTLE, WA 98105

    Phone: (206) 987-2599

    Fax: (206) 729-3070

    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: 2017-05-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170502001616INurse PractitionerWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032021050View full group profile
NameSpecialtyState
Physician AssistantWI
Physician AssistantWA
-WA
-WA
Nurse PractitionerWA
Nurse PractitionerWA
Hematology, PathologyWA
Physician AssistantWA
-WA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Does TARA ELIZABETH TUMULTY (C.P.N.P.) have a public NPI I can cite?
Public records show TARA ELIZABETH TUMULTY (C.P.N.P.) under NPI 1831478346.
Quick check: is TARA ELIZABETH TUMULTY (C.P.N.P.) active?
Public NPPES data shows TARA ELIZABETH TUMULTY (C.P.N.P.) with an active NPI status right now.
Which specialty label fits TARA ELIZABETH TUMULTY (C.P.N.P.)?
NPPES ties TARA ELIZABETH TUMULTY (C.P.N.P.) to Pediatric Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit TARA ELIZABETH TUMULTY (C.P.N.P.) in Olympia, Washington?
For routing, start with Olympia, Washington for TARA ELIZABETH TUMULTY (C.P.N.P.), then verify phone and hours locally.
Can I export TARA ELIZABETH TUMULTY (C.P.N.P.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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