Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mary Jo Patino Cofreros , ARNP

Nurse Practitioner โ€ข Spanaway, WA

Active NPI 1700286440 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

225 176th St S
Spanaway, WA 983879201

Call 2535073594 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

225 176th St S

Spanaway, WA 983879201

Telephone 2535073594
Organization at the Same NPPES Address or Phone
Sea Mar Community Health Centers Facility NPI 1922624642

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Multicare Health System. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare patients

110 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $41,293 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $29,386 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 โ€“ by Provider and Service, 2024.

30-day fills

5,791 standardized 30-day fills in 2024

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

$44,737 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $106.28 in 2024

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.

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 2024.

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mary Jo Cofreros 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mary Jo Cofreros 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Spanaway and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: 234. Middle half: 84 to 502.

Too few clinicians listed under Nurse Practitioner in Spanaway have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $18,362. Middle half: $7,179 to $35,594.

Too few clinicians listed under Nurse Practitioner in Spanaway have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $13,803. Middle half: $5,221 to $25,979.

Too few clinicians listed under Nurse Practitioner in Spanaway have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.

Too few clinicians listed under Nurse Practitioner in Spanaway have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: $11,694. Middle half: $1,114 to $110,470.

Too few clinicians listed under Nurse Practitioner in Spanaway have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Nurse Practitioner with a practice address in Spanaway, WA (2,310 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท 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

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $106.28.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
NUCALA General $106.28

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 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 โ€“ by Provider and Service data, 2017โ€“2024; 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
171 78 $343.00 $104.11
96127 Assessment of emotional or behavioral problems
105 31 $18.00 $4.36
99443 Telephone medical discussion with physician, 21-30 minutes
78 35 $341.00 $108.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
53 39 $480.00 $145.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
50 50 $347.00 $109.83
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
32 28 $44.00 $13.75
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
13 13 $242.00 $72.54

Source: CMS Part B by Provider and Service, 2024; 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 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 193 15,947 $1,415.55 57
Levothyroxine Sodium Levothyroxine Sodium 153 10,176 $968.95 32
Gabapentin Gabapentin 137 7,033 $2,534.51 43
Losartan Potassium Losartan Potassium 124 8,976 $1,170.78 30
Omeprazole Omeprazole 110 6,489 $1,309.88 27
Amlodipine Besylate Amlodipine Besylate 100 6,327 $532.43 24
Lisinopril Lisinopril 94 6,476 $476.14 26
Montelukast Sodium Montelukast Sodium 87 5,464 $641.16 23
Alendronate Sodium Alendronate Sodium 79 4,925 $292.98 17
Trazodone Hcl Trazodone Hcl 75 5,310 $1,379.04 24
Sertraline Hcl Sertraline Hcl 70 4,653 $687.44 21
Fluticasone Propionate Fluticasone Propionate 68 3,360 $1,450.07 31
Rosuvastatin Calcium Rosuvastatin Calcium 66 5,085 $773.60 19
Metformin Hcl Metformin Hcl 64 5,039 $589.55 24
Albuterol Sulfate Hfa Albuterol Sulfate 63 1,475 $1,757.66 35
Hydrochlorothiazide Hydrochlorothiazide 60 3,784 $284.24 14
Fluoxetine Hcl Fluoxetine Hcl 53 3,513 $709.04 12
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 48 954 $938.79 12
Alprazolam Alprazolam 48 1,296 $133.92 โ€”
Tamsulosin Hcl Tamsulosin Hcl 44 3,370 $339.58 14
Quetiapine Fumarate Quetiapine Fumarate 42 2,393 $726.33 12
Metformin Hcl Er Metformin Hcl 42 3,650 $498.12 12
Zolpidem Tartrate Zolpidem Tartrate 41 1,261 $92.83 โ€”
Tramadol Hcl Tramadol Hcl 38 854 $83.31 โ€”
Pravastatin Sodium Pravastatin Sodium 36 1,954 $426.11 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WA AP60737794

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES WA RN60036901

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20170621002238

Enrollment State Jurisdiction

WA

PECOS Control ID

7113295890

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Multicare Health System

315 Martin Luther King Jr Way, Tacoma, WA 984054234

Phone: 2534031677

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Roger Ball

Physician Assistant - Medical

NPI 1245250414
Brett Flory , PA

Physician Assistant

NPI 1821498296

Physician Assistant

Keeley Johnson , ARNP

Nurse Practitioner - Family

NPI 1730664079

Advanced Registered Nurse Practitioner

My-Dung Nguyen , ARNP

Nurse Practitioner - Family

NPI 1598135378

Advanced Registered Nurse Practitioner

Marie Tsurgeon , PA-C

Physician Assistant - Medical

NPI 1790839991

Physician Assistant (Certified)

Debbie Turner , ARNP

Nurse Practitioner - Family

NPI 1679972533

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Practice Location August 13, 2024

Registered at 225 176TH ST S, SPANAWAY, WA 983879201 (Tel: 2535073594)

๐Ÿ“
Updated Business Mailing Address August 13, 2024

Registered at 225 176TH ST S, SPANAWAY, WA 983879201 (Tel: 2535073594)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2024

Nurse Practitioner (license number reported to NPPES: WA AP60737794)

โœ…
NPI Profile Active April 16, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location April 16, 2017

Registered at 7224 43RD ST W, UNIVERSITY PLACE, WA 984664314 (Tel: 2535079452)

๐Ÿ“
Updated Business Mailing Address April 16, 2017

Registered at 7224 43RD ST W, UNIVERSITY PLACE, WA 984664314 (Tel: 2535079452)

๐Ÿ‘ค
Provider Name / Credentials Updated April 16, 2017

Recorded as MARY JO COFREROS, ARNP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2017

Registered Nurse (license number reported to NPPES: WA RN60036901)

๐Ÿ‘ค
Provider Name / Credentials Updated March 28, 2017

Recorded as MARY JO COFREROS, ARNP

โœ…
NPI Profile Active August 29, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 29, 2014

Registered at 7224 43RD ST W, UNIVERSITY PLACE, WA 984664314 (Tel: 2535079452)

๐Ÿ“
Business Mailing Address (Initial Record) August 29, 2014

Registered at 7224 43RD ST W, UNIVERSITY PLACE, WA 984664314 (Tel: 2535079452)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 29, 2014

Recorded as MARY JO COFREROS

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2014

Registered Nurse (license number reported to NPPES: WA RN60036901)

๐ŸŸข
Initial NPI Registration & Enumeration August 29, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700286440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2014
Last Update: August 13, 2024
Sole Proprietor: No

Mailing Address

225 176th St S

Spanaway, WA 983879201

Phone: 2535073594

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.