MRS. ANITA T SASSAMAN (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1952644965

MRS. ANITA T SASSAMAN (NP) is a healthcare provider. based in Longview, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP4899 (AZ). The NPI Number for MRS. ANITA T SASSAMAN (NP) is 1952644965

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANITA T SASSAMAN (NP)
NPI
1952644965
Phone
(360) 200-5419
Address
748 14th Ave
Enumeration Date
28 March 2013
Last Update Date
19 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8442025555
Graduation Year
2012 (14 years ago)
PAC ID
1355589474
Group Practice PAC ID
7416233549
Professional Enrollment ID
I20180104001722
Address ID
WA982714831MA3955XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for MRS. ANITA T SASSAMAN (NP)

  • 748 14th Ave

    Longview, WA 986322315

    Phone: (360) 200-5419

    Type: Location

  • 3955 156TH ST NE

    MARYSVILLE, WA 982714831

    Phone: (844) 202-5555

    Fax: (360) 542-2254

    Type: Mailing

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: 2018-01-04

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
I20130601000027INurse PractitionerAZTBD
I20180104001722INurse PractitionerWATBD

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 minutes2912$0
90792Psychiatric diagnostic evaluation with medical services1614$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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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: 7416233549View full group profile
NameSpecialtyState
P S Y C H I A T R YPA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerTX
-WA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerNV
Nurse PractitionerWA

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. ANITA T SASSAMAN (NP)?
NPI 1952644965 is assigned to MRS. ANITA T SASSAMAN (NP) under the national enumeration system.
Is MRS. ANITA T SASSAMAN (NP)'s NPI currently valid?
The extract we use shows MRS. ANITA T SASSAMAN (NP) as active.
What kind of provider is MRS. ANITA T SASSAMAN (NP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MRS. ANITA T SASSAMAN (NP). Clinical services aligned with this taxonomy classification.
Where is MRS. ANITA T SASSAMAN (NP)'s primary listing?
We display Longview, Washington because that is what the record indicates for MRS. ANITA T SASSAMAN (NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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