DR. HILLARY BROOKS ALLEN-KISSICK (M.D.) – Family Medicine Physician, NPI 1851392765
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. HILLARY BROOKS ALLEN-KISSICK (M.D.)
510 STATE AVE NE STE 101
OLYMPIA, WA 985011170
Phone: (833) 411-5469
Fax: (855) 459-3020
Type: Location
1217 Cooper Point Rd SW
PMG SW WA W Olympia Fam Med
Olympia, WA 985027204
Phone: (360) 486-6710
Type: Location
403 Black Hills Ln SW Ste B
Olympia, WA 985028600
Phone: (360) 709-9500
Type: Location
3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083360
Phone: (360) 486-6508
Type: Mailing
403, Black Hills Lane Southwest, Olympia, Thurston County, Washington, 98502, United States
OLYMPIA, WA 985028600
Phone: (360) 709-9500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $274.
Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($218).
Total Amount
$274
General + Research + Ownership
Payments
15
Total payment records
General Amount
$274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $218 |
| PFIZER INC. | $21 |
| Bausch Health US, LLC | $20 |
| Mylan Specialty L.P. | $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: 2004-02-23
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 |
|---|---|---|---|---|
| I20040223000405 | 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 98501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Family Practice | IL | |
| General Practice | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | MD | |
| Family Practice | OH | |
| - | WA | |
| Family Practice | WA | |
| Nurse Practitioner | TN |
Reviews
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