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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. MAXINE CERAOLO ARNP
NPI 1043808405
Nurse Practitioner - Psychiatric/Mental Health in Port Angeles, WA

Active since December 31, 2020PECOS Enrolled
933 E 1ST ST, PORT ANGELES, WA 98362(360) 452-7891(360) 452-8087 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, Oct 2, 2023, Feb 16, 2023 and 3 more (6 updates tracked since 2020).

About Ms. Maxine Ceraolo Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MAXINE CERAOLO ARNP (NPI 1043808405) is an individual psychiatric/mental health provider in Port Angeles, Washington, licensed in Washington (AP61167344) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043808405
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MAXINE CERAOLOCredential: ARNP
Location Address933 E 1ST STPort Angeles, WA 98362-4012
Mailing Address240 W Front St Ste APort Angeles, WA 98362-2609 · (360) 452-7891 · Fax (360) 452-8087
Phone(360) 452-7891
Fax(360) 452-8087
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 31, 2020
Last NPPES UpdateJuly 14, 20266 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1043808405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61167344
Also ListedPsychologistTaxonomy 103T00000X · License AP61167344 (WA)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 417174 (OH)
933 E 1ST ST, Port Angeles, WA 98362
Open in Google Maps ↗

Other Identifiers 1

Medicaid2211667WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Maxine Ceraolo Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638559776
PECOS Enrollment IDI20220706003549
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSTANCE ANN KELLY
Dental Hygienist
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
DR. ZACHARY BIBB DMD
Dentist (General Practice)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
KAITLIN ROSE RUBITSCHUN LMHC
Counselor (Mental Health)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
TY MATHEW BOE CDPT
Counselor (Addiction (Substance Use Disorder))
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-4432
DR. REYNOLD DREW DONOVAN D.D.S.
Dentist
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
MICHAEL WALKER
Student in an Organized Health Care Education/Training Program
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-7891
JESSICA PETERSON CDPT
Counselor (Addiction (Substance Use Disorder))
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 452-4432
JON MICHIEL EYRE DDS
Dentist (General Practice)
933 E 1ST ST
PORT ANGELES, WA 98362
Clallam County (360) 797-1037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxine Ceraolo's NPI number?

The NPI number for Maxine Ceraolo is 1043808405. It was assigned to this individual provider in the NPPES registry on December 31, 2020.

Where is Maxine Ceraolo located?

Maxine Ceraolo practices at 933 E 1st St, Port Angeles, WA 98362. The listed phone number is (360) 452-7891.

What is Maxine Ceraolo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Maxine Ceraolo enrolled in Medicare?

Yes. Maxine Ceraolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maxine Ceraolo accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Maxine Ceraolo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maxine Ceraolo was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.