EMILY SUZANNE TANNER (PA-C) – Physician Assistant, NPI 1295248805
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EMILY SUZANNE TANNER (PA-C)
6912 220th St SW Ste 113
Mountlake Terrace, WA 980432174
Phone: (425) 553-0937
Fax: (720) 598-0440
Type: Location
11601 Montgomery Blvd NE
Albuquerque, NM 871112660
Phone: (505) 207-3421
Fax: (505) 702-8171
Type: Location
18100 NE Union Hill Rd
Redmond, WA 980523330
Phone: (425) 498-2165
Fax: (206) 320-5191
Type: Location
Highlands Drive Northeast, Issaquah, King County, Washington, 98029, United States
ISSAQUAH, WA 980296245
Phone: (425) 381-6173
Type: Mailing
Swedish Hospital, 18100, Northeast Union Hill Road, Redmond, King County, Washington, 98052, United States
REDMOND, WA 980523330
Phone: (425) 498-2165
Fax: (206) 320-5191
Type: Location
7375 OSWEGO RD STE 1
LIVERPOOL, NY 130903717
Phone: (315) 291-0064
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: 2023-03-13
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20171220001953 | I | Physician Assistant | DC | TBD |
| I20171220002155 | I | Physician Assistant | MD | TBD |
| I20200519002006 | I | Physician Assistant | WA | TBD |
| I20221020001365 | I | Physician Assistant | MI | TBD |
| I20221114002448 | I | Physician Assistant | NY | TBD |
| I20230313001615 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
| 81003 | Automated urinalysis test | 13 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | UT | |
| Physical Therapist In Private Practice | WA | |
| Family Practice, Obstetrics/Gynecology | WA | |
| - | UT | |
| - | WA | |
| - | WA | |
| - | UT | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | UT | |
| - | UT |
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