JEANINE ANN SOMMERVILLE (MD) – Family Medicine Physician, NPI 1669467304
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for JEANINE ANN SOMMERVILLE (MD)
Gunderson Building, 3927, Rucker Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982014833
Phone: (425) 339-5422
Fax: (425) 339-5444
Type: Location
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
PBO
EVERETT, WA 982065127
Phone: (425) 339-5422
Fax: (425) 339-5444
Type: Mailing
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
13020 MERIDIAN AVE S
EVERETT, WA 982086468
Phone: (425) 357-3700
Fax: (425) 357-3701
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: 2008-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081016000288 | I | Family Practice | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 114 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 38 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 15 | 13 | $0 |
| 87086 | Bacterial colony count, urine | 15 | 13 | $0 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | WA | |
| - | OR | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| Infectious Disease, Internal Medicine | WA | |
| Family Practice | OR |
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