STEPHANIE SANDERSON (NP-BC) – Family Nurse Practitioner, NPI 1205477361
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,307 NURSE PRACTITIONER in WA
Provider Addresses for STEPHANIE SANDERSON (NP-BC)
2005 W Main St Ste 110
Battle Ground, WA 986044311
Phone: (360) 882-2778
Type: Location
15 SW Everett Mall Way Ste A
Everett, WA 982042715
Phone: (888) 562-5442
Type: Location
15, Southwest Everett Mall Way, Everett, Snohomish County, Washington, 98204, United States
EVERETT, WA 982042715
Phone: (888) 562-5442
Type: Mailing
PO BOX 4825
PORTLAND, OR 972084825
Phone: (360) 397-4040
Type: Mailing
2005 W MAIN ST STE 110
BATTLE GROUND, WA 986044311
Phone: (360) 882-2778
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2023-06-14 • Largest payer in this snapshot: Lundbeck LLC ($58).
Total Amount
$87
General + Research + Ownership
Payments
3
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $58 |
| Organon LLC | $29 |
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: 2021-06-01
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20191205002765 | I | Nurse Practitioner | WA | TBD |
| I20210601002342 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | FL | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | OR | |
| Physician Assistant | PA | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | VA | |
| Physician Assistant | HI | |
| Physician Assistant | IL |
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