PURSUIT MENTAL HEALTH AND RECOVERY – Psychiatric/Mental Health Nurse Practitioner, NPI 1215647201
Psychiatric/Mental Health Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PURSUIT MENTAL HEALTH AND RECOVERY
1047 S Wells St
Meridian, ID 836427997
Phone: (951) 312-9646
Type: Location
21 E State St
Columbus, OH 432154281
Phone: (206) 588-5251
Type: Location
8601 Kiowa Trl
Kissimmee, FL 347471522
Phone: (206) 588-5251
Type: Location
1201 Fannin St Ste 262
Houston, TX 770026943
Phone: (206) 289-0571
Type: Location
8297 CHAMPIONS GATE BLVD STE 240
CHAMPIONS GATE, FL 338968387
Phone: (206) 588-5251
Type: Mailing
707 S GRADY WAY STE 600
RENTON, WA 980573227
Phone: (206) 588-5251
Fax: (206) 238-9564
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: 2024-02-14
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 |
|---|---|---|---|---|
| O20240214003672 | O | Clinic/Group Practice | 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 83642)
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