MS. JENNIFER SUSAN BRACAMONTES (MD) – Pediatric Endocrinology Physician, NPI 1942663190
Pediatric Endocrinology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. JENNIFER SUSAN BRACAMONTES (MD)
4800 SAND POINT WAY NE, OC.7.830
SEATTLE, WA 981053901
Phone: (206) 987-2525
Type: Mailing
1959 NE Pacific St
Seattle, WA 981950001
Phone: (206) 520-5000
Type: Location
7033 E TUDOR RD
ANCHORAGE, AK 995071262
Phone: (907) 729-3300
Fax: (907) 729-5180
Type: Mailing
1717 W COWLES ST
FAIRBANKS, AK 997015926
Phone: (907) 729-3300
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone:
Type: Mailing
1959 NE PACIFIC ST
SEATTLE, WA 981950001
Phone: (206) 520-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,639.
Total Amount is formed as General ($1,639) + Research ($0) + Ownership ($0) = $1,639.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Medtronic, Inc. ($1,164).
Total Amount
$1,639
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,639
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,164 |
| SANOFI-AVENTIS U.S. LLC | $125 |
| BETA BIONICS, INC. | $125 |
| Abbott Laboratories | $121 |
| Tandem Diabetes Care, Inc. | $104 |
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: 2024-12-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220831004031 | I | Endocrinology | WA | TBD |
| I20241217002272 | I | Pediatric Medicine | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98105)
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