SIERRA ROBERTSON – Physician Assistant, NPI 1457937724

SIERRA ROBERTSON is a healthcare provider. based in College place, Washington. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA.61129971 (WA). The NPI Number for SIERRA ROBERTSON is 1457937724

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SIERRA ROBERTSON
NPI
1457937724
Phone
(509) 200-7397
Address
751 GRANDVIEW AVE
Enumeration Date
18 March 2021
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098973320
Graduation Year
2020 (6 years ago)
PAC ID
8729495213
Group Practice PAC ID
2860552973
Professional Enrollment ID
I20210330000581
Address ID
WA993622846WA401XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,285 PHYSICIAN ASSISTANT in WA

Provider Addresses for SIERRA ROBERTSON

  • 751 GRANDVIEW AVE

    COLLEGE PLACE, WA 993241436

    Phone: (509) 200-7397

    Type: Mailing

  • 401 W POPLAR ST

    WALLA WALLA, WA 993622846

    Phone: (509) 897-3320

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-08-25 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-25

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: 2021-03-30

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
I20210330000581IPhysician AssistantWATBD

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 minutes275212$0
93280Programming of dual lead pacemaker system2020$0
99215Established patient office or other outpatient visit, 40-54 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 99324)

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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: 2860552973View full group profile
NameSpecialtyState
Emergency MedicineCO
Hospitalist, Internal MedicineUT
Nurse PractitionerWA
Internal Medicine, HospitalistID
N E U R O L O G YOR
Family PracticeWA
-WA
Emergency MedicineWA
Physical Therapist In Private PracticeWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Is there an official ID for SIERRA ROBERTSON in U.S. healthcare records?
The official identifier for SIERRA ROBERTSON is NPI 1457937724.
Would SIERRA ROBERTSON appear as active to a payer?
You can treat SIERRA ROBERTSON as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for SIERRA ROBERTSON?
At a glance, SIERRA ROBERTSON is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is SIERRA ROBERTSON located near College Place?
SIERRA ROBERTSON currently maps to College Place, Washington in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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