DR. NANCY JANE NEUBAUER (MD) – Diagnostic Radiology Physician, NPI 1215915723

DR. NANCY JANE NEUBAUER (MD) is a healthcare provider. based in Lynnwood, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD00038613 (WA). The NPI Number for DR. NANCY JANE NEUBAUER (MD) is 1215915723

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. NANCY JANE NEUBAUER (MD)
NPI
1215915723
Phone
(425) 563-1500
Address
19020 33rd Ave W Ste 210
Enumeration Date
4 January 2006
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2063203700
Graduation Year
1991 (35 years ago)
PAC ID
7113970732
Group Practice PAC ID
9931012812
Professional Enrollment ID
I20050223000723
Address ID
WA981225711SE500XXAVEX300

Contacts

Secure Messaging
nneubauer128073@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,262 DIAGNOSTIC RADIOLOGY in WA

Provider Addresses for DR. NANCY JANE NEUBAUER (MD)

  • 19020 33rd Ave W Ste 210

    Lynnwood, WA 980364748

    Phone: (425) 563-1500

    Fax: (425) 563-1501

    Type: Location

  • 33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States

    LYNNWOOD, WA 980364748

    Phone: (425) 563-1500

    Fax: (425) 563-1374

    Type: Mailing

  • Colby Avenue, Pinehurst, Everett, Snohomish County, Washington, 98203, United States

    PROVIDENCE EVERETT MEDICAL CENTER

    EVERETT, WA 98206

    Phone: (425) 261-2000

    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: 2005-02-23

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
I20050223000723IDiagnostic RadiologyWATBD

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
77067Screening mammography193193$0
77063Screening 3d breast mammography192192$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)7070$0
77065Diagnostic mammography of 1 breast3938$0
77066Diagnostic mammography of both breasts3333$0
View full utilization report →

Insurance plans in this area (ZIP 98036)

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Provider's Procedures

DR. NANCY JANE NEUBAUER (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWA71250CT scan chest1717
DIAGNOSTIC RADIOLOGYWA73562X-ray of knee, 3 views1614
DIAGNOSTIC RADIOLOGYWA74177CT scan of abdomen and pelvis with contrast2626

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: 9931012812View full group profile
NameSpecialtyState
Diagnostic RadiologyWA
-WA
Diagnostic RadiologyWA
-WA
Diagnostic RadiologyMO
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyOH
Diagnostic RadiologyWA
Diagnostic RadiologyTN

Reviews

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Frequently asked questions

Is there an official ID for DR. NANCY JANE NEUBAUER (MD) in U.S. healthcare records?
The official identifier for DR. NANCY JANE NEUBAUER (MD) is NPI 1215915723.
Would DR. NANCY JANE NEUBAUER (MD) appear as active to a payer?
You can treat DR. NANCY JANE NEUBAUER (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. NANCY JANE NEUBAUER (MD)?
DR. NANCY JANE NEUBAUER (MD)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. NANCY JANE NEUBAUER (MD) associated with Lynnwood?
Public fields place DR. NANCY JANE NEUBAUER (MD) around Lynnwood, Washington. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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