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Active NPI 1811486228 Individual Practitioner Male Practitioner

Gregory Imafidon , ARNP

Nurse Practitioner • Kent, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gregory Imafidon, ARNP is a certified Nurse Practitioner practicing in Kent, WA. With approximately 9 years of clinical experience since completing medical education in 2017, Gregory Imafidon delivers high-quality medical care to the local community at 521 2ND PL N STE 11-103.

Gregory Imafidon is affiliated with Kittitas County Public Hospital Dist 1 and accepts Medicare assignment.

Frequently performed procedures and clinical services include complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, manual urinalysis test with examination using microscope, automated, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

521 2nd Pl N Ste 11-103

Kent, WA 980324537

Telephone 4256903491
Fax 4256909091

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Kent, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
27 Specialists

Practicing in Kent, WA (2339 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Imafidon (9 Years) 9 Yrs
Kent Specialty Average (9.1 Years) 9.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
26 17 $27.00 $7.73
81001 Manual urinalysis test with examination using microscope, automated
25 16 $43.72 $3.15
80053 Blood test, comprehensive group of blood chemicals
25 16 $34.96 $10.50
80061 Blood test, lipids (cholesterol and triglycerides)
24 15 $66.00 $13.32

Medical Specialties & State Licenses

CMS Verified: 2024-11-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP61288019

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX AP137759

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX F04180510

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WA AP61288019

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Np Certification
F04180510 (TX)
Commercial Insurance / Payer ID License
AP137759 (TX)

Hospital & Practice Group Affiliations

Kittitas County Public Hospital Dist 1

100 E Jackson Ave, Ellensburg, WA 989263692

Phone: 5099338777

Secondary Practice Locations

308 S Cesar Chavez Ave

Crystal City, TX 788394200

Phone: 8303742301

4945 Las Lomas Dr

Mesquite, TX 751503180

Phone: 4694349784

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Kathleen Lucier

Family Medicine

NPI 1205463155
Jensen Nelson , PA-C

Physician Assistant - Medical

NPI 1437339942

Physician Assistant (Certified)

Dr. Thuy Pham , DO

Family Medicine

NPI 1578979316

Doctor of Osteopathic Medicine (D.O.)

NPI 1598540692

Master of Science in Nursing, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location November 18, 2024

Registered at 521 2ND PL N STE 11-103, KENT, WA 980324537 (Tel: 4256903491)

📍
Updated Business Mailing Address November 18, 2024

Registered at 521 2ND PL N STE 11-103, KENT, WA 980324537 (Tel: 4256903491)

👤
Provider Name / Credentials Updated November 18, 2024

Recorded as GREGORY IMAFIDON, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2024

Nurse Practitioner (License #AP61288019 in WA)

📍
Updated Practice Location October 04, 2018

Registered at 308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 788394200 (Tel: 8303742301)

👤
Provider Name / Credentials Updated October 04, 2018

Recorded as GREGORY IMAFIDON, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2018

Nurse Practitioner (License #AP137759 in TX)

NPI Profile Active May 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2018

Registered at 4945 LAS LOMAS DR, MESQUITE, TX 751503180 (Tel: 4694349784)

📍
Updated Business Mailing Address May 02, 2018

Registered at 4945 LAS LOMAS DR, MESQUITE, TX 751503180 (Tel: 4694349784)

👤
Provider Name / Credentials Updated May 02, 2018

Recorded as GREGORY IMAFIDON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2018

Nurse Practitioner (License #F04180510 in TX)

🟢
Initial NPI Registration & Enumeration May 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811486228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2018
Last Update: November 18, 2024
Sole Proprietor: Yes

Mailing Address

521 2nd Pl N Ste 11-103

Kent, WA 980324537

Phone: 4256903491

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.