ROBERT SISE (MD) – Addiction Medicine (Psychiatry & Neurology) Physician, NPI 1053725937
Addiction Medicine (Psychiatry & Neurology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
710 PSYCHIATRY in WA
Provider Addresses for ROBERT SISE (MD)
1959 NE PACIFIC ST.
BOX 356560
SEATTLE, WA 98195
Phone:
Type: Mailing
5 W MENDENHALL ST STE 202
BOZEMAN, MT 597153566
Phone: (406) 219-7233
Type: Location
96 N WEAVER ST UNIT 440
BELGRADE, MT 597147018
Phone: (406) 219-7233
Fax: (888) 798-0145
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: 2019-05-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180807003517 | I | Psychiatry | MT | TBD |
| I20190517001585 | I | Psychiatry | WA | 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 98195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MT | |
| P S Y C H I A T R Y | WY | |
| Physician Assistant | MT | |
| Nurse Practitioner | MT | |
| Family Practice, Obstetrics/Gynecology | MT | |
| Clinical Social Worker | MT | |
| P S Y C H I A T R Y | WA | |
| Nurse Practitioner | MT | |
| Nurse Practitioner | MT | |
| Nurse Practitioner | MT |
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