MS. MARYALICE RENATE HARDISON (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992256796
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MS. MARYALICE RENATE HARDISON (ARNP)
521 E Mountain View Ave
Ellensburg, WA 989263865
Phone: (509) 452-4520
Type: Location
501 S 5TH AVE
YAKIMA, WA 989023550
Phone: (509) 853-1082
Fax: (509) 573-6275
Type: Mailing
1806 W LINCOLN AVE
YAKIMA, WA 989022473
Phone: (509) 452-4520
Fax: (509) 452-5224
Type: Location
PO BOX 2605
YAKIMA, WA 989072605
Phone: (509) 454-4143
Type: Mailing
406, South 30th Avenue, Yakima, Yakima County, Washington, 98902, United States
YAKIMA, WA 989023713
Phone: (509) 574-3383
Fax: (509) 225-2705
Type: Location
4305 LACEY BLVD. SE
SUITE #20
LACEY, WA 98503
Phone: (215) 585-2144
Fax: (267) 780-7032
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $419.
Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($257).
Total Amount
$419
General + Research + Ownership
Payments
4
Total payment records
General Amount
$419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $257 |
| PFIZER INC. | $82 |
| VERTEX PHARMACEUTICALS INCORPORATED | $80 |
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: 2017-01-25
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 |
|---|---|---|---|---|
| I20170125001111 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98926)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Family Practice | IL | |
| - | WA | |
| Family Practice | WA | |
| Clinical Psychologist | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| Family Practice | WA |
Reviews
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