MS. AUDREY JEAN CHURCH (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1972683571
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
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Provider Addresses for MS. AUDREY JEAN CHURCH (ARNP)
2344, Northeast Marion Lane, Villaggio, Issaquah, King County, Washington, 98029, United States
ISSAQUAH, WA 980293661
Phone: (206) 778-9737
Fax: (425) 391-7014
Mailing address matches the actual address.
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: 2004-05-20
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 |
|---|---|---|---|---|
| I20040520001308 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 20 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 39 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 15 | $0 |
Insurance plans in this area (ZIP 98029)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 43 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| - | WA | |
| - | OR | |
| Clinical Psychologist | OR | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | TX | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| - | OR |
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