STEPHEN WILSON EMMONS – Family Medicine Physician, NPI 1396821013

STEPHEN WILSON EMMONS is a healthcare provider. based in Woodinville, Washington. specializing in FAMILY PRACTICE. They hold a License No. MD00039110 (WA). The NPI Number for STEPHEN WILSON EMMONS is 1396821013

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN WILSON EMMONS
NPI
1396821013
Phone
(425) 485-4100
Address
WOODINVILLE TOWNE CENTER
Enumeration Date
27 October 2006
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2065984333
Graduation Year
1997 (29 years ago)
PAC ID
2769460732
Group Practice PAC ID
0446162697
Professional Enrollment ID
I20040708000179
Address ID
WA981950001SE1959XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for STEPHEN WILSON EMMONS

  • WOODINVILLE TOWNE CENTER

    17638 140TH AVE NE

    WOODINVILLE, WA 98072

    Phone: (425) 485-4100

    Type: Location

  • 4915 25th Ave NE Ste 300W

    Seattle, WA 981055668

    Phone: (206) 520-5000

    Type: Location

  • Woodinville Towne Center

    17638 140th Ave NE

    Woodinville, WA 98072

    Phone: (425) 485-4100

    Type: Location

  • 24360 Van Ry Blvd

    Mountlake Terrace, WA 980435457

    Phone: (206) 520-5000

    Type: Location

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 543-6420

    Type: Mailing

  • 1959 NE PACIFIC ST

    SEATTLE, WA 981950001

    Phone: (206) 520-5000

    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: 2004-07-08

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
I20040708000179IFamily PracticeWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes297280$0
81003Automated urinalysis test6464$0
36415Insertion of needle into vein for collection of blood sample6262$0
99213Established patient office or other outpatient visit, 20-29 minutes3635$0
99203New patient office or other outpatient visit, 30-44 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 98072)

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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: 0446162697View full group profile

Reviews

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Frequently asked questions

Can I verify STEPHEN WILSON EMMONS with an NPI only?
You can start verification with NPI 1396821013 for STEPHEN WILSON EMMONS, then check state licensing separately.
Is STEPHEN WILSON EMMONS still practicing?
STEPHEN WILSON EMMONS is currently listed as active in the public NPI registry.
What is STEPHEN WILSON EMMONS best known for clinically?
Directory data describes STEPHEN WILSON EMMONS with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does STEPHEN WILSON EMMONS list a practice location?
Patients near Woodinville, Washington may find STEPHEN WILSON EMMONS in results; validate coverage separately.
Why does STEPHEN WILSON EMMONS have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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