DR. REBECCA BRYN NOLAN (M.D.) – Family Medicine Physician, NPI 1912290636

DR. REBECCA BRYN NOLAN (M.D.) is a healthcare provider. based in Mount vernon, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD60650207 (WA). The NPI Number for DR. REBECCA BRYN NOLAN (M.D.) is 1912290636

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA BRYN NOLAN (M.D.)
NPI
1912290636
Phone
(360) 428-1700
Address
2116 E SECTION ST
Enumeration Date
27 May 2011
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604663136
Graduation Year
2011 (15 years ago)
PAC ID
6204069875
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20160726001155
Address ID
WA982213473AN912XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. REBECCA BRYN NOLAN (M.D.)

  • 2116 E SECTION ST

    MOUNT VERNON, WA 98274

    Phone: (360) 428-1700

    Fax: (360) 848-4350

    Type: Location

  • PO BOX 5127

    EVERETT, WA 982065127

    Phone: (206) 860-5414

    Fax: (206) 720-8462

    Type: Mailing

  • 3927 RUCKER AVE

    EVERETT, WA 982014833

    Phone: (425) 339-5422

    Fax: (425) 336-5444

    Type: Location

  • 2116 E Section St

    Mount Vernon, WA 98274

    Phone: (360) 428-1700

    Fax: (360) 848-4350

    Type: Location

  • 300 Colorado Ave

    Pueblo, CO 810042006

    Phone: (719) 543-8711

    Fax: (719) 543-0171

    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: 2016-07-26

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
I20160726001155IFamily PracticeWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample13096$0
80053Blood test, comprehensive group of blood chemicals9483$0
99214Established patient office or other outpatient visit, 30-39 minutes8049$0
80061Blood test, lipids (cholesterol and triglycerides)7269$0
83036Hemoglobin a1c level6249$0
View full utilization report →

Insurance plans in this area (ZIP 98274)

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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: 6406752153View full group profile
NameSpecialtyState
-OR
-WA
-WA
P A T H O L O G YTN
Nurse PractitionerWA
Diagnostic RadiologyWA
Nurse PractitionerWA
Physical Therapist In Private PracticeWA
O T O L A R Y N G O L O G YWA
Emergency MedicineOR

Reviews

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Frequently asked questions

What federal number belongs to DR. REBECCA BRYN NOLAN (M.D.)?
The federal identifier for DR. REBECCA BRYN NOLAN (M.D.) is NPI 1912290636.
Is DR. REBECCA BRYN NOLAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. REBECCA BRYN NOLAN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. REBECCA BRYN NOLAN (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. REBECCA BRYN NOLAN (M.D.)?
We surface Mount Vernon, Washington for DR. REBECCA BRYN NOLAN (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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