IRINA E PENEV (PA-C) – Physician Assistant, NPI 1851361646
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IRINA E PENEV (PA-C)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
1550 N 115th St
Seattle, WA 981338401
Phone: (206) 520-5000
Type: Location
550 17th Ave Fl 6
Seattle, WA 981225788
Phone: (206) 861-8550
Fax: (206) 861-8551
Type: Location
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-4000
Type: Mailing
17th Avenue, Little Saigon, Central District, Seattle, King County, Washington, 98122, United States
SEATTLE, WA 981225788
Phone: (206) 861-8550
Fax: (206) 861-8551
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: 2021-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100812001052 | I | Physician Assistant | WA | TBD |
| I20211111002133 | 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 84125)
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Reviews
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