DR. KRISTINE KELLEY EWING (MD) – Family Medicine Physician, NPI 1972589422
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for DR. KRISTINE KELLEY EWING (MD)
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
NAVAL HOSPITAL BREMERTON
BREMERTON, WA 983121894
Phone: (360) 475-4426
Fax: (360) 475-4344
Type: Mailing
6968 NE ENETAI LANE
SUQUAMISH, WA 983925147
Phone: (360) 394-1350
Fax: (360) 598-2783
Type: Mailing
1344 WINTERGREEN LN NE
BAINBRIDGE ISLAND, WA 981105147
Phone: (206) 855-7600
Fax: (253) 858-4978
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-04-11 • Largest payer in this snapshot: Dexcom, Inc. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $14 |
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: 2024-01-24
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 |
|---|---|---|---|---|
| I20240124002049 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | WA | |
| Mental Health Counselor | WA | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | WA | |
| Family Practice | WA |
Reviews
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