MISS KELLI LYNN HANKS (ARNP) – Gerontology Nurse Practitioner, NPI 1962041996
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for MISS KELLI LYNN HANKS (ARNP)
1230 7TH AVE
LONGVIEW, WA 986323166
Phone: (800) 813-2000
Type: Mailing
1910 UNIVERSITY DR
BOISE, ID 837250001
Phone: (360) 506-7547
Type: Mailing
2690 NE KRESKY AVE
CHEHALIS, WA 985322412
Phone: (360) 330-9595
Fax: (360) 330-9530
Type: Mailing
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: 2025-01-09
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 |
|---|---|---|---|---|
| I20211014002883 | I | Nurse Practitioner | WA | TBD |
| I20250109002010 | I | Nurse Practitioner | OR | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 69 | 33 | $0 |
Insurance plans in this area (ZIP 98632)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| Physician Assistant | OR | |
| Nurse Practitioner | WA | |
| Physician Assistant | OR | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | WA | |
| General Practice, Radiation Oncology, General Practice | CA | |
| Nurse Practitioner | WA | |
| Physician Assistant | OR |
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