DR. KATHLEEN YANELLI MOEN (M.D.) – Orthopaedic Surgery Physician, NPI 1649206764
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KATHLEEN YANELLI MOEN (M.D.)
751 NE Blakely Dr Ste 5010
Issaquah, WA 980296201
Phone: (206) 215-2700
Fax: (206) 215-2702
Type: Location
The Seattle Rhinoplasty Center, 1101, Madison Street, First Hill, Seattle, King County, Washington, 98104, United States
SUITE 800
SEATTLE, WA 981041306
Phone: (206) 215-2700
Fax: (206) 215-2702
Type: Mailing
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.
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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: 2012-08-03
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 |
|---|---|---|---|---|
| I20120803000796 | I | Orthopedic Surgery | 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 98029)
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