Performance Home Medical – Oxygen Equipment & Supplies (DME), NPI 1821433558

Performance Home Medical is a healthcare provider. based in Everett, Washington. specializing in Oxygen Equipment & Supplies (DME). The organization holds a License No. NONE REQUIRED (WA). The NPI Number for Performance Home Medical is 1821433558

Main info

Organization
Name
Performance Home Medical
NPI
1821433558
Phone
(425) 252-6932
Address
3202 COLBY AVE STE D
Authorized Official
LUANA MICHELE HALL DIRECTOR OF COMPLIANCE NAC
Enumeration Date
8 May 2013
Last Update Date
17 July 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:13State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for Performance Home Medical

  • 3202 COLBY AVE STE D

    EVERETT, WA 982014324

    Phone: (425) 252-6932

    Fax: (425) 252-6933

    Type: Location

  • 19625 62ND AVE S STE A101

    KENT, WA 980321106

    Phone: (253) 852-5612

    Fax: (253) 852-0427

    Type: Mailing

  • 3327 COLBY AVE STE A

    EVERETT, WA 982016403

    Phone: (866) 687-4463

    Fax: (877) 414-2727

    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: 2013-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-07-31 (316 days ago).

Enrollment records

1

Earliest due date

2025-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20130830000257OMedical Supply CompanyWA2025-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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 98201)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Performance Home Medical?
Performance Home Medical — NPI 1821433558 — is the standard way to identify this listing.
Is Performance Home Medical still practicing?
Performance Home Medical is currently listed as active in the public NPI registry.
What healthcare role does Performance Home Medical hold?
Scheduling teams often label Performance Home Medical under Oxygen Equipment & Supplies (DME). Clinical services aligned with this taxonomy classification.
Where should I expect Performance Home Medical on a map?
Expect Everett, Washington as a primary anchor for Performance Home Medical unless the record lists multiple sites.
Why does Performance Home Medical have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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