JESSICA L SANDERSON – Medical Physician Assistant, NPI 1790003234
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for JESSICA L SANDERSON
PO BOX 1519
WHITE SALMON, WA 986721519
Phone: (509) 493-2133
Fax: (509) 493-9544
Type: Mailing
212 NE SKYLINE DR
WHITE SALMON, WA 986721948
Phone: (509) 493-2133
Fax: (509) 493-9544
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $713.
Total Amount is formed as General ($713) + Research ($0) + Ownership ($0) = $713.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($516).
Total Amount
$713
General + Research + Ownership
Payments
31
Total payment records
General Amount
$713
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $516 |
| UCB, Inc. | $149 |
| Amgen Inc. | $34 |
| ABBVIE INC. | $14 |
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: 2013-01-03
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 |
|---|---|---|---|---|
| I20130103000423 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 272 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 94 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 104 | 96 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 72 | 68 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 50 | 50 | $0 |
Insurance plans in this area (ZIP 98672)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CO | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| D E R M A T O L O G Y | OR |
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