Individual provider Active NPI

Sarah Pedersen

  • Physician Assistant
  • Renton, WA
National Provider Identifier
1023494226
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60594976 Issued in WA
Practice address
500 SW 7TH St Ste 205
Renton, WA 98057-2983
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
Aug 11, 2015
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60594976 WA Primary

Addresses

Primary practice location

500 SW 7TH St Ste 205
Renton, WA 98057-2983

Mailing address

500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (509) 222-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151021000195 WA Practitioner - Physician Assistant 6608185335 Reassigns benefits to 5 organizations
I20240202002344 ID Practitioner - Physician Assistant 6608185335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians
Ideal Telemedicine Services LLCGroup PAC ID 2860726221, 47 clinicians

Practice addresses (Care Compare)

1146 14TH Ave
Longview, WA 98632-3017
Phone (877) 522-1275

1215 120TH Ave NE
Suite 201
Bellevue, WA 98005-2135
Phone 87752212753049

1520 Parker Way
Mount Vernon, WA 98273-2595
Phone (877) 522-1275

1811 Howard Rd
Suite 101
Auburn, WA 98002-6311
Phone 87752212753049

208 E Francis Ave
Spokane, WA 99208-1071
Phone (509) 222-1275

3800 Byron Ave
Suite 116
Bellingham, WA 98229-2877
Phone 87752212755049

3918 N Schreiber Way
Coeur D Alene, ID 83815-8395
Phone (509) 961-6672

406 SE 131St Ave
Suite 104
Vancouver, WA 98683-4031
Phone (509) 222-1275

500 SW 7TH St
Renton, WA 98057-2983
Phone (877) 522-1275

602 N 39TH Ave
Suite 200
Yakima, WA 98902-6398
Phone (877) 522-1275

8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone (509) 222-1275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince May 15, 2017 Accepting new patients
Ideal Option, PLLC CurrentSince Apr 1, 2019 Accepting new patients
Grays Harbor Community Hospital CurrentSince Mar 19, 2016 Accepting new patients
Grays Harbor House Hospitalist CurrentSince Mar 19, 2016 Accepting new patients
Multicare Health System CurrentSince May 15, 2017 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients

Locations (25 of 40)

8050 W Rifleman St
Ste 200
Boise, ID 83704

3110 Cleveland Blvd
Ste A7
Caldwell, ID 83605

3918 N Schreiber Way
Coeur D Alene, ID 83815
Phone (509) 961-6672

380 N Capital Ave
Ste 1
Idaho Falls, ID 83402

35 Wildcat Way
Kellogg, ID 83837
Phone (208) 784-1351

1630 23rd Ave
Ste 501
Lewiston, ID 83501

1950 E Clark St
Ste 110
Pocatello, ID 83201
Phone (208) 232-7246

2101 Pine St
Sandpoint, ID 83864
Phone (208) 263-5159

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

1811 Howard Rd
Ste 101
Auburn, WA 98002

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

3800 Byron Ave
Ste 122
Bellingham, WA 98229

7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049

8514 W Gage Blvd
Ste G
Kennewick, WA 99336
Phone 50922212756

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1146 14th Ave
Longview, WA 98632

1617 Grove St
Marysville, WA 98270
Phone (360) 356-6533

101 E Main St
Ste 201
Monroe, WA 98272
Phone (360) 863-0642

1520 Parker Way
Mount Vernon, WA 98273

1800 Cooper Point Rd SW
Ste 4
Olympia, WA 98502
Phone 87752212783049

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJHFAD/Endpoint/DJHFAD

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1023494226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "509-222-1275",
            "fax_number": "509-491-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE 205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60594976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.