JANETTA C PROVERBS (M.D.) – Obstetrics & Gynecology Physician, NPI 1851397889

JANETTA C PROVERBS (M.D.) is a healthcare provider. based in Vancouver, Washington. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. 0426209 (KS). The NPI Number for JANETTA C PROVERBS (M.D.) is 1851397889

Main info

Female
Name
JANETTA C PROVERBS (M.D.)
NPI
1851397889
Phone
(360) 514-6060
Address
400 NE Mother Joseph Pl
Enumeration Date
23 June 2005
Last Update Date
11 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for JANETTA C PROVERBS (M.D.)

  • 400 NE Mother Joseph Pl

    Vancouver, WA 986643200

    Phone: (360) 514-6060

    Fax: (360) 514-6074

    Type: Location

  • 9375, West 75th Street, Overland Park, Johnson County, Kansas, 66204, United States

    OVERLAND PARK, KS 66204

    Phone: (913) 642-7000

    Fax: (913) 642-7020

    Type: Mailing

  • 9375 W 75th St

    Overland Park, KS 66204

    Phone: (913) 642-7000

    Fax: (913) 642-7020

    Type: Location

  • 505 NE 87TH AVE STE 160

    VANCOUVER, WA 986641965

    Phone: (360) 514-1060

    Fax: (360) 514-1065

    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: 2022-11-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221114000395IObstetrics/GynecologyFLTBD

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.

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 98664)

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Reviews

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Frequently asked questions

What unique ID ties claims to JANETTA C PROVERBS (M.D.)?
NPI 1851397889 is assigned to JANETTA C PROVERBS (M.D.) under the national enumeration system.
Is JANETTA C PROVERBS (M.D.) currently active in the NPI registry?
CMS-published data lists JANETTA C PROVERBS (M.D.) as an active registrant.
What field does JANETTA C PROVERBS (M.D.) work in?
You can think of JANETTA C PROVERBS (M.D.) as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is JANETTA C PROVERBS (M.D.)'s primary listing?
We display Vancouver, Washington because that is what the record indicates for JANETTA C PROVERBS (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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