PATRICIA A MATHIS (ARNP) – Family Nurse Practitioner, NPI 1992874390
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for PATRICIA A MATHIS (ARNP)
11206 152ND AVE SE
RENTON, WA 980596021
Phone: (206) 799-4891
Type: Mailing
1135 116TH AVE NE STE 200
BELLEVUE, WA 980044695
Phone: (425) 635-3400
Fax: (425) 688-0213
Type: Location
5708, East Lake Sammamish Parkway Southeast, Issaquah, King County, Washington, 98029, United States
SUITE 102
ISSAQUAH, WA 980298942
Phone: (425) 688-5488
Fax: (425) 233-6269
Type: Mailing
1120, 112th Avenue Northeast, Bellevue, King County, Washington, 98004, United States
SUITE 150
BELLEVUE, WA 980044500
Phone: (425) 688-5846
Fax: (425) 688-5281
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: 2007-01-17
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 |
|---|---|---|---|---|
| I20070117000213 | 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 98059)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| Qualified Speech Language Pathologist | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Nurse Practitioner | TX | |
| - | WA |
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