ABE BRADLEY SELLARDS (PA-C) – Physician Assistant, NPI 1023590825

ABE BRADLEY SELLARDS (PA-C) is a healthcare provider. based in Yakima, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60907113 (WA). The NPI Number for ABE BRADLEY SELLARDS (PA-C) is 1023590825

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ABE BRADLEY SELLARDS (PA-C)
NPI
1023590825
Phone
(509) 452-4520
Address
1806 W LINCOLN AVE
Enumeration Date
29 August 2018
Last Update Date
24 January 2019

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4809260404
Graduation Year
2018 (8 years ago)
PAC ID
7012256688
Group Practice PAC ID
2062773138
Professional Enrollment ID
I20211130003054
Address ID
AZ852970441GI3507XRDXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for ABE BRADLEY SELLARDS (PA-C)

  • 1806, West Lincoln Avenue, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989022473

    Phone: (509) 452-4520

    Fax: (509) 452-5224

    Type: Location

  • 501, South 5th Avenue, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989023550

    Phone: (509) 494-6700

    Fax: (509) 573-6275

    Type: Mailing

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: 2021-11-30

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
I20211130003054IPhysician AssistantAZTBD

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 minutes10674$0
99213Established patient office or other outpatient visit, 20-29 minutes7962$0
81003Automated urinalysis test1615$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 98902)

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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: 2062773138View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyTN
-AZ
General Surgery, Vascular SurgeryAZ
Orthopedic Surgery, Hand SurgeryAZ
Physician AssistantAZ
Internal MedicineAZ
Internal MedicineAZ
-AZ
Nurse PractitionerWA
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

Is there an official ID for ABE BRADLEY SELLARDS (PA-C) in U.S. healthcare records?
The official identifier for ABE BRADLEY SELLARDS (PA-C) is NPI 1023590825.
Active or inactive — what applies to ABE BRADLEY SELLARDS (PA-C)?
You should see ABE BRADLEY SELLARDS (PA-C) as active in CMS-hosted NPPES data.
What area of care is associated with ABE BRADLEY SELLARDS (PA-C)?
ABE BRADLEY SELLARDS (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with ABE BRADLEY SELLARDS (PA-C)?
Directory geography for ABE BRADLEY SELLARDS (PA-C) centers on Yakima, Washington.
When was this NPI issued?
Enumeration for ABE BRADLEY SELLARDS (PA-C) is noted as August 29, 2018 where the registry provides it.

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