MS. MIRIAM CARLA SORENSEN (FNP) – Nurse Practitioner, NPI 1376914879

MS. MIRIAM CARLA SORENSEN (FNP) is a healthcare provider. based in Colville, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP60499123 (WA). The NPI Number for MS. MIRIAM CARLA SORENSEN (FNP) is 1376914879

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. MIRIAM CARLA SORENSEN (FNP)
NPI
1376914879
Phone
(509) 684-3701
Address
982 E Columbia Ave
Enumeration Date
9 October 2015
Last Update Date
6 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882273312
Graduation Year
2008 (18 years ago)
PAC ID
3678874898
Group Practice PAC ID
6800128067
Professional Enrollment ID
I20151214000272
Address ID
WA993542626RI1601XWAYX400
Telehealth
Yes

Contacts

Secure Messaging
msorensen951172@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

6,261 NURSE PRACTITIONER in WA

Provider Addresses for MS. MIRIAM CARLA SORENSEN (FNP)

  • 982 E Columbia Ave

    Colville, WA 991143316

    Phone: (509) 684-3701

    Type: Location

  • PO BOX 3360

    PORTLAND, OR 972083360

    Phone: (866) 747-2455

    Type: Mailing

  • 10200 MUKILTEO SPEEDWAY

    MUKILTEO, WA 98275

    Phone: (888) 227-3312

    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: 2023-09-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151214000272INurse PractitionerWATBD
I20230907001426INurse PractitionerORTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2828$0
99213Established patient office or other outpatient visit, 20-29 minutes2720$0
View full utilization report →

Insurance plans in this area (ZIP 99114)

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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: 6800128067View full group profile

Reviews

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Frequently asked questions

How is MS. MIRIAM CARLA SORENSEN (FNP) identified in CMS data?
CMS-hosted NPPES data lists MS. MIRIAM CARLA SORENSEN (FNP) with NPI 1376914879.
Can I rely on MS. MIRIAM CARLA SORENSEN (FNP) being an active provider?
As of the registry snapshot, MS. MIRIAM CARLA SORENSEN (FNP) is marked active.
What is MS. MIRIAM CARLA SORENSEN (FNP) best known for clinically?
Directory data describes MS. MIRIAM CARLA SORENSEN (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. MIRIAM CARLA SORENSEN (FNP) based?
MS. MIRIAM CARLA SORENSEN (FNP) is tied to Colville, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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