LAUREL A GORHAM (C.P.N.P.) – Nurse Practitioner, NPI 1356360499
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LAUREL A GORHAM (C.P.N.P.)
Southwest Columbia Street, Bend, Deschutes County, Oregon, 97702, United States
STE 6150
BEND, OR 977021099
Phone: (541) 383-3005
Fax: (541) 383-1883
Type: Mailing
402 S 12TH AVE
YAKIMA, WA 989023115
Phone: (509) 573-2598
Fax: (509) 452-5224
Type: Location
1314 SW Kalama Ave
Redmond, OR 977563054
Phone: (541) 923-5800
Fax: (541) 383-1883
Type: Location
402 S 12th Ave
Yakima, WA 989023115
Phone: (509) 573-2598
Fax: (509) 452-5224
Type: Location
2205 W LINCOLN AVE
YAKIMA, WA 989022437
Phone: (509) 469-6305
Type: Mailing
501 S 5TH AVE
YAKIMA, WA 989023550
Phone: (509) 494-6700
Fax: (509) 853-1082
Type: Mailing
M.A. Lynch Elementary, 1314, Southwest Kalama Avenue, Redmond, Deschutes County, Oregon, 97756, United States
REDMOND, OR 977563054
Phone: (541) 923-5800
Fax: (541) 383-1883
Type: Location
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 $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($63).
Total Amount
$63
General + Research + Ownership
Payments
1
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $63 |
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: 2021-03-30
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 |
|---|---|---|---|---|
| I20210330001946 | 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 97702)
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