MEGAN E LANDIS FERESTIEN (PA-C) – Medical Physician Assistant, NPI 1982892345

MEGAN E LANDIS FERESTIEN (PA-C) is a healthcare provider. based in Kirkland, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10005274 (WA). The NPI Number for MEGAN E LANDIS FERESTIEN (PA-C) is 1982892345

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN E LANDIS FERESTIEN (PA-C)
NPI
1982892345
Phone
(258) 994-1444
Address
12911 120TH AVE NE STE G100
Enumeration Date
11 October 2007
Last Update Date
10 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4258994144
Graduation Year
2007 (19 years ago)
PAC ID
1658460365
Group Practice PAC ID
1052660875
Professional Enrollment ID
I20071204000145
Address ID
WA980343027KI12911NEXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for MEGAN E LANDIS FERESTIEN (PA-C)

  • 120th Avenue Northeast, Kirkland, King County, Washington, 98033, United States

    KIRKLAND, WA 980343027

    Phone: (258) 994-1444

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $503.

Total Amount is formed as General ($503) + Research ($0) + Ownership ($0) = $503.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($344).

Total Amount

$503

General + Research + Ownership

Payments

10

Total payment records

General Amount

$503

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2007-12-04

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
I20071204000145IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98034)

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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: 1052660875View full group profile
NameSpecialtyState
Physician AssistantWA
Physician AssistantWA
D E R M A T O L O G YOR
D E R M A T O L O G YWA
Physician AssistantFL
D E R M A T O L O G YWA
Physician AssistantWA

Reviews

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Frequently asked questions

How do payers reference MEGAN E LANDIS FERESTIEN (PA-C)?
For MEGAN E LANDIS FERESTIEN (PA-C), use NPI 1982892345 as the unique 10-digit identifier.
Is there an active status for MEGAN E LANDIS FERESTIEN (PA-C)?
For scheduling context, MEGAN E LANDIS FERESTIEN (PA-C) is shown as active in the registry.
How would a patient describe MEGAN E LANDIS FERESTIEN (PA-C)'s focus?
For MEGAN E LANDIS FERESTIEN (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MEGAN E LANDIS FERESTIEN (PA-C)?
Travel planning: use Kirkland, Washington as the reference point for MEGAN E LANDIS FERESTIEN (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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