Unknown Individual – Family Nurse Practitioner, NPI 1053663757
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
900 S 336TH ST
FEDERAL WAY, WA 980036311
Phone: (253) 942-3301
Fax: (253) 237-0606
Type: Mailing
90 ADAMS PL
DELMAR, NY 120543224
Phone: (518) 689-2244
Type: Location
551 LONE PINE BLVD
THE DALLES, OR 970589403
Phone: (541) 296-7724
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 501 | 386 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 121 | 121 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 98003)
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