Emily A April , ARNP
Nurse Practitioner • Sequim, WA
840 N 5th Avenue, Ste 1500
Sequim, WA 98382
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 10, 2006; this date does not establish years in practice.
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Published CMS data list 1,201 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 17003 — Destruction of precancer skin growth, 2-14 growths: 294 service units.
- 99214 — Established patient outpatient office visit: 198 service units.
- 17000 — Destruction of precancer skin growth, 1 growth: 183 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 10 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 187 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Ketoconazole — 36 prescription fills, including refills.
- Triamcinolone Acetonide — 32 prescription fills, including refills.
- Doxycycline Hyclate — 31 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 977 in 2019 to 1,201 in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2023.
Practice Location & Contact Primary Location
840 N 5th Avenue, Ste 1500
Sequim, WA 98382
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Port Townsend, WA; Sequim, WA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $74,741 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
Paid by Medicare
About $36,123 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
30-day fills
256 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$5,567 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $19.93 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Emily April has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Emily April as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Sequim and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Emily April are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Emily April are from 2023.
17 active clinicians are listed under Nurse Practitioner with a practice address in Sequim, WA (2,310 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Sequim
17.6% of these 17 clinicians have the CMS telehealth indicator.
64.7% of these 17 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 23% from 977 in 2019 to 1,201 in 2023.
- 2019: 977
- 2020: 580
- 2021: 2,947
- 2022: 3,702
- 2023: 1,201
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Medicare-allowed amount
Medicare-allowed amount increased 13% from $66,157 in 2019 to $74,741 in 2023.
- 2019: $66,157
- 2020: $34,952
- 2021: $172,667
- 2022: $228,955
- 2023: $74,741
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Paid by Medicare
Paid by Medicare decreased 19% from $44,558 in 2019 to $36,123 in 2023.
- 2019: $44,558
- 2020: $22,451
- 2021: $117,520
- 2022: $152,696
- 2023: $36,123
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 95% from 3,539 in 2019 to 187 in 2023.
- 2019: 3,539
- 2020: 1,945
- 2021: 243
- 2022: 405
- 2023: 187
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30-day fills
30-day fills decreased 97% from 7,504 in 2019 to 256 in 2023.
- 2019: 7,504
- 2020: 4,325
- 2021: 320
- 2022: 482
- 2023: 256
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Part D drug cost
Part D drug cost decreased 98% from $238,170 in 2019 to $5,567 in 2023.
- 2019: $238,170
- 2020: $99,817
- 2021: $9,578
- 2022: $14,494
- 2023: $5,567
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2025 only.
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $19.93.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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BRIDION | General | $19.93 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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17003
Destruction of precancer skin growth, 2-14 growths
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294 | 108 | $20.00 | $5.81 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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198 | 185 | $364.00 | $107.99 |
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17000
Destruction of precancer skin growth, 1 growth
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183 | 173 | $194.00 | $43.43 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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183 | 171 | $259.00 | $76.57 |
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17110
Destruction of skin growth, 1-14 growths
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115 | 108 | $327.00 | $97.82 |
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11102
Biopsy of related skin growth, first growth
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107 | 105 | $296.00 | $78.51 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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35 | 35 | $476.00 | $141.64 |
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11103
Biopsy of related skin growth, each additional growth
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34 | 26 | $148.00 | $42.56 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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28 | 28 | $162.00 | $48.24 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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24 | 24 | $320.00 | $95.24 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ketoconazole | Ketoconazole | 36 | 1,764 | $749.66 | 21 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 32 | 995 | $329.49 | 21 |
| Doxycycline Hyclate | Doxycycline Hyclate | 31 | 912 | $777.01 | 16 |
| Clobetasol Propionate | Clobetasol Propionate | 27 | 1,007 | $939.22 | 12 |
| Fluorouracil | Fluorouracil | 21 | 915 | $1,383.97 | 19 |
| Metronidazole | Metronidazole | 20 | 726 | $1,227.78 | — |
| Spironolactone | Spironolactone | 20 | 870 | $159.76 | — |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-07-24NUCC Taxonomy Code: 363L00000X
(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.
NUCC Taxonomy Code: 363LF0000X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20040405000735
WA
5597758763
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
565 Eureka Way
Sequim, WA 983825074
Phone: 3605820808
834 Sheridan St
Port Townsend, WA 983682443
Phone: 3603441002
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Family Nurse Practitioner (Certified)
Nurse Practitioner - Adult Health
Advanced Registered Nurse Practitioner
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nurse Practitioner (license number reported to NPPES: WA AP30005633)
Registered at 565 EUREKA WAY, SEQUIM, WA 983825074 (Tel: 3605820808)
Nurse Practitioner (license number reported to NPPES: WA AP30005633)
NPI status registered as active in NPPES database
Registered at 840 N 5TH AVENUE, STE 1500, SEQUIM, WA 98382 (Tel: 3605822840)
Registered at 519 S. PEABODY STREET STE 3, PORT ANGELES, WA 98362 (Tel: 3605659240)
Recorded as EMILY APRIL, ARNP
Nurse Practitioner (license number reported to NPPES: WA AP30005633)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Sequim
- Lee Baker, ARNP
- Marna Butler, FNP-C
- Suree Chommuang, ARNP
- Jill Corson, FNP-C
- Jennifer Zerr, ARNP
- Dr. Lesley Cruz, DNP, ARNP
Mailing Address
565 Eureka Way
Sequim, WA 983825074
Phone: 3605820808