SARAH ELIZABETH QUEWAKUM (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639450026
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for SARAH ELIZABETH QUEWAKUM (PMHNP-BC)
410 W DARTMOUTH ST
GLADSTONE, OR 970272349
Phone: (541) 905-1595
Type: Mailing
11970 SW GREENBURG RD
TIGARD, OR 972236453
Phone: (503) 726-3696
Type: Location
727 E ASH ST
LEBANON, OR 973554416
Phone: (541) 905-1595
Type: Mailing
66 Club Rd Ste 160
Eugene, OR 974012439
Phone: (541) 345-1722
Fax: (541) 485-7049
Type: Location
4080 REED RD SE STE 150
SALEM, OR 973021335
Phone: (503) 581-1732
Fax: (503) 363-4607
Type: Location
398 High St
Eugene, OR 974012310
Phone: (541) 344-1121
Fax: (541) 344-4780
Type: Location
911 COUNTRY CLUB RD STE 290
EUGENE, OR 974011301
Phone: (541) 313-6199
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-08-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240812000822 | I | Nurse Practitioner | OR | TBD |
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.
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 97027)
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