Individual provider Active NPI

Genevieve D Pate, ARNP

  • Family Nurse Practitioner
  • Quilcene, WA
National Provider Identifier
1376056622
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61374595 Issued in WA
Practice address
294843 US Highway 101
Quilcene, WA 98376-9800
Phone
(360) 385-3991
Fax
(360) 765-3811
NPI assigned
Nov 8, 2017
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9283328 FL
Family Nurse Practitioner 363LF0000X AP61374595 WA Primary

Addresses

Primary practice location

294843 US Highway 101
Quilcene, WA 98376-9800

Mailing address

2376 Dora Dr
Clearwater, FL 33765-2721
Phone (727) 744-7811

Other practice location 1

25400 US Highway 19 N Ste 201
Clearwater, FL 33763-2175
Phone (727) 669-6411

Other practice location 2

89 Breaker Ln
Port Ludlow, WA 98365-9766
Phone (360) 437-5067

Other names 1

  • Genevieve D. Pate Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418001301 WA Practitioner - Nurse Practitioner 8325413628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

294843 US Hwy 101
Quilcene, WA 98376-6000
Phone 3603853991360765

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9283328FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 CurrentSince Feb 13, 2023 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Feb 13, 2023 Accepting new patients
Martin J. Milne, MD, PA Past Accepting new patients
Jefferson County Public Hospital District No 2 Past Accepting new patients
Jefferson County Public Hospital District No 2 Past Accepting new patients

Locations

89 Breaker Ln
Port Ludlow, WA 98365
Phone (360) 437-4158

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330

Interoperability endpoints

  • Direct secure messaging: gpate2645535@wm.providencedirect.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1376056622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 DORA DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652721",
            "telephone_number": "727-744-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294843 US HIGHWAY 101",
            "city": "QUILCENE",
            "state": "WA",
            "postal_code": "983769800",
            "telephone_number": "360-385-3991",
            "fax_number": "360-765-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25400 US Highway 19 N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337632175",
            "country_code": "US",
            "telephone_number": "727-669-6411",
            "fax_number": "727-669-8231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89 Breaker Ln",
            "address_purpose": "LOCATION",
            "city": "Port Ludlow",
            "state": "WA",
            "postal_code": "983659766",
            "country_code": "US",
            "telephone_number": "360-437-5067",
            "fax_number": "360-437-4158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATE",
        "first_name": "GENEVIEVE",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9283328",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61374595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "PATE",
            "middle_name": "D.",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Quilcene, WA

Sources for this page

Verify at the official NPI Registry.