ANNELIESE N. TRADER (PA-C) – Physician Assistant, NPI 1992377709
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for ANNELIESE N. TRADER (PA-C)
550 GAGE BLVD STE 101
RICHLAND, WA 993529532
Phone: (509) 473-0637
Fax: (509) 627-2983
Type: Mailing
945 GOETHALS DR STE 300
RICHLAND, WA 993523552
Phone: (509) 943-3196
Fax: (509) 946-0455
Type: Location
1515 E Columbia St
Othello, WA 993441846
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
601 Government Rd
Mattawa, WA 993495120
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
1051 Columbia Ave
Connell, WA 993268702
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
1515 E COLUMBIA ST
OTHELLO, WA 993441846
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $588.
Total Amount is formed as General ($588) + Research ($0) + Ownership ($0) = $588.
Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ABBVIE INC. ($326).
Total Amount
$588
General + Research + Ownership
Payments
28
Total payment records
General Amount
$588
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $326 |
| AstraZeneca Pharmaceuticals LP | $80 |
| Lilly USA, LLC | $51 |
| Amgen Inc. | $45 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $28 |
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: 2021-10-14
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 |
|---|---|---|---|---|
| I20211014000872 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 75 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 68 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 35 | 33 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 14 | 12 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 14 | 14 | $0 |
Insurance plans in this area (ZIP 99352)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology, Hematology, Hematology/Oncology, Internal Medicine | WA | |
| - | MO | |
| Hospitalist, Internal Medicine | WA | |
| - | WA | |
| P O D I A T R Y | WA | |
| Hematology/Oncology, Internal Medicine | WA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | NC | |
| Physician Assistant | WA | |
| Internal Medicine | WA |
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