KENT MICHAEL SANDQUIST (PA) – Medical Physician Assistant, NPI 1407918501

KENT MICHAEL SANDQUIST (PA) is a healthcare provider. based in Ontario, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA01105 (OR). The NPI Number for KENT MICHAEL SANDQUIST (PA) is 1407918501

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
KENT MICHAEL SANDQUIST (PA)
NPI
1407918501
Phone
(541) 889-8410
Address
335 SW 13TH ST
Enumeration Date
14 December 2006
Last Update Date
13 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413722211
Graduation Year
2005 (21 years ago)
PAC ID
5597787531
Group Practice PAC ID
3678545993
Professional Enrollment ID
I20070220000740
Address ID
OR979133973NY410XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for KENT MICHAEL SANDQUIST (PA)

  • 335, Southwest 13th Street, Ontario, Malheur County, Oregon, 97914, United States

    ONTARIO, OR 979144547

    Phone: (541) 889-8410

    Fax: (541) 889-8093

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Mylan Specialty L.P. ($37).

Total Amount

$81

General + Research + Ownership

Payments

5

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060316000138IPhysician AssistantORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97914)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678545993View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantID

Reviews

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Frequently asked questions

Can I cross-check KENT MICHAEL SANDQUIST (PA) using NPI 1407918501?
NPI 1407918501 belongs to KENT MICHAEL SANDQUIST (PA); compare other details if you need extra assurance.
Is KENT MICHAEL SANDQUIST (PA) shown as active in public data?
Registry records indicate KENT MICHAEL SANDQUIST (PA) maintains an active NPI.
What expertise is attributed to KENT MICHAEL SANDQUIST (PA)?
KENT MICHAEL SANDQUIST (PA)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KENT MICHAEL SANDQUIST (PA)?
Travel planning: use Ontario, Oregon as the reference point for KENT MICHAEL SANDQUIST (PA), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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