DR. CORIE LYNN SANDALL (MD) – Internal Medicine Physician, NPI 1013996180

DR. CORIE LYNN SANDALL (MD) is a healthcare provider. based in Bonney lake, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00045674 (WA). The NPI Number for DR. CORIE LYNN SANDALL (MD) is 1013996180

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORIE LYNN SANDALL (MD)
NPI
1013996180
Phone
(253) 750-6000
Address
9230 SKY ISLAND DR E
Enumeration Date
17 January 2006
Last Update Date
4 August 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
2534282200
Graduation Year
1999 (27 years ago)
PAC ID
4284646316
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20060608000022
Address ID
WA984054965TA1812XSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

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Provider Addresses for DR. CORIE LYNN SANDALL (MD)

  • Sky Island Drive East, Bonney Lake, Pierce County, Washington, 98390-6305, United States

    BONNEY LAKE, WA 983917385

    Phone: (253) 750-6000

    Fax: (253) 750-6100

    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)

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: 2006-06-08

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
I20060608000022IInternal MedicineWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes750404$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit351351$0
99213Established patient office or other outpatient visit, 20-29 minutes190154$0
83036Hemoglobin a1c level11578$0
G0008Administration of influenza virus vaccine6260$0
View full utilization report →

Insurance plans in this area (ZIP 98391)

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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: 0547173866View full group profile

Reviews

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Frequently asked questions

Does DR. CORIE LYNN SANDALL (MD) have a public NPI I can cite?
Public records show DR. CORIE LYNN SANDALL (MD) under NPI 1013996180.
Does the public listing show DR. CORIE LYNN SANDALL (MD) as active?
DR. CORIE LYNN SANDALL (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. CORIE LYNN SANDALL (MD)?
NPPES ties DR. CORIE LYNN SANDALL (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. CORIE LYNN SANDALL (MD) in Bonney Lake, Washington?
For routing, start with Bonney Lake, Washington for DR. CORIE LYNN SANDALL (MD), then verify phone and hours locally.
Can I export DR. CORIE LYNN SANDALL (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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