DR. SUSAN OLDENKAMP (M.D.) – Dermatology Physician, NPI 1275669459

DR. SUSAN OLDENKAMP (M.D.) is a healthcare provider. based in Everett, Washington. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00023394 (WA). The NPI Number for DR. SUSAN OLDENKAMP (M.D.) is 1275669459

Main info

Female
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN OLDENKAMP (M.D.)
NPI
1275669459
Phone
(425) 743-7888
Address
12811 8TH AVE W
Enumeration Date
24 February 2007
Last Update Date
3 June 2010

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5096241184
Graduation Year
1978 (48 years ago)
PAC ID
0345257945
Group Practice PAC ID
9931098357
Professional Enrollment ID
I20060307000319
Address ID
WA992021461SP324XXSTXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

393 DERMATOLOGY in WA

Provider Addresses for DR. SUSAN OLDENKAMP (M.D.)

  • 12811 8TH AVE W

    SUITE D-109

    EVERETT, WA 982046335

    Phone: (425) 743-7888

    Fax: (425) 355-3055

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 123 Open Payments records for all available years, with a total value of $3,217.

Total Amount is formed as General ($3,217) + Research ($0) + Ownership ($0) = $3,217.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($806).

Total Amount

$3,217

General + Research + Ownership

Payments

123

Total payment records

General Amount

$3,217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-03-07

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
I20060307000319IDermatologyWATBD

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
17003Destruction of precancer skin growth, 2-14 growths12833$0
17000Destruction of precancer skin growth, 1 growth4949$0
99213Established patient office or other outpatient visit, 20-29 minutes3432$0
99212Established patient office or other outpatient visit, 10-19 minutes3232$0
99202New patient office or other outpatient visit, 15-29 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 98204)

Loading plans...

Provider's Procedures

DR. SUSAN OLDENKAMP (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYWA11101Biopsy of each additional growth of skin and/or tissue2319
DERMATOLOGYWA17003Destruction of 2-14 skin growths51246

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: 9931098357View full group profile
NameSpecialtyState
D E R M A T O L O G YWA
Physician AssistantWA
Physician AssistantWA
-WA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find DR. SUSAN OLDENKAMP (M.D.)'s NPI?
You can confirm DR. SUSAN OLDENKAMP (M.D.) with NPI 1275669459; it appears in the national provider directory.
Is DR. SUSAN OLDENKAMP (M.D.)'s NPI currently valid?
The extract we use shows DR. SUSAN OLDENKAMP (M.D.) as active.
Can you summarize DR. SUSAN OLDENKAMP (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. SUSAN OLDENKAMP (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. SUSAN OLDENKAMP (M.D.)?
The snapshot lists Everett, Washington for DR. SUSAN OLDENKAMP (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

3327, Colby Avenue, Everett, Snohomish County, Washington, 98203, United States
NPI: 1043294473

KIM GITTERE ABSON (MD)

Dermatology Physician
Kelley Ross Pharmacy, 904, 7th Avenue, Central Business District, First Hill, Seattle, King County, Washington, 98138, United States
NPI: 1215902135

MARCOS ANTEZANA (M.D.)

Dermatology Physician
1145 Broadway
NPI: 1104892843

CELLNETIX PATHOLOGY PLLC

Anatomic Pathology & Clinical Pathology Physician
Terminal Finance Station Seattle Post Office, 2420, 4th Avenue South, Beacon Hill, Seattle, King County, Washington, 98134, United States
NPI: 1356310866

LINDA S GABOUREL (MD)

Dermatology Physician
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
NPI: 1568427623

JANE M NOSAL (MD)

Dermatology Physician
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
NPI: 1154387066

JOHN R STREIDL (MD)

Dermatology Physician
11011 Meridian Ave N
NPI: 1912931635

DR. DAVID IAN SMITH (M.D.)

Dermatology Physician
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
NPI: 1538255294

DR. ROBIN LOUISE HORNUNG (MD)

Dermatology Physician
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
NPI: 1437230786