MRS. CORALEE RUTH KONING (PA-C) – Medical Physician Assistant, NPI 1992793525
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. CORALEE RUTH KONING (PA-C)
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone:
Type: Mailing
101, Northwest 12th Avenue, Battle Ground, Clark County, Washington, 98604, United States
SUITE 107
BATTLE GROUND, WA 986049141
Phone: (360) 666-4480
Type: Location
2625 E DIVISADERO ST
FRESNO, CA 937211431
Phone: (559) 443-2682
Fax: (559) 443-2681
Type: Mailing
2335 E KASHIAN LN STE 260
FRESNO, CA 937012234
Phone: (559) 256-5130
Fax: (559) 485-4504
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $564.
Total Amount is formed as General ($564) + Research ($0) + Ownership ($0) = $564.
Last reported payment date: 2024-02-14 • Largest payer in this snapshot: United Therapeutics Corporation ($285).
Total Amount
$564
General + Research + Ownership
Payments
13
Total payment records
General Amount
$564
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-06-29
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 |
|---|---|---|---|---|
| I20100629000327 | I | Physician Assistant | CA | 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 97208)
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Reviews
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