Active NPI
Anne Pesenson, MD
- Nephrology Physician
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD00046540
- Practice address
- 21401 72ND Ave W
Edmonds, WA 98026-7702 - Phone
- (206) 860-5575
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD00046540 | WA | Primary |
Addresses
Primary practice location
21401 72ND Ave W
Edmonds, WA 98026-7702
Mailing address
7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414
Other practice location 1
904 7th Ave
Seattle, WA 98104-1132
Phone (206) 860-4478
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255550 | Other | WA | STATE L&I |
| 0273315 | Other | WA | STATE L&I |
| P00847698 | Other | WA | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Temple University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
900 Terry Ave
FL 3
Seattle, WA 98104-4232
Phone (206) 382-1021
904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 309-1760
Hospital & facility affiliations
- NKC Yesler Terrace Kidney Center
- NKC Renton Kidney Center
- Tacoma General Allenmore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00046540 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Past | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients | |
| Optum Care Washington PLLC | Past | Accepting new patients |
Locations
21401 72nd Ave W
Edmonds, WA 98026
Phone (425) 304-1101
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
32014 32nd Ave S
Federal Way, WA 98001
Phone (253) 874-7101
1262 State Ave
Marysville, WA 98270
Phone (360) 651-7450
1145 Broadway
Seattle, WA 98122
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
900 Terry Ave
Fl 3
Seattle, WA 98104
Phone (206) 382-1021
904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- apesenson23031@direct.tecmc.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Ambulatory Surgical Clinic/Center
- Arlington, WA
- NPI 1366154304
-
- General Practice Physician
- Renton, WA
- NPI 1497129696
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1154318103
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
- NPI 1346620200
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Seattle, WA
- NPI 1346242542
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Renton, WA
- NPI 1922193564
Dialysis facility
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1083765515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036421",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21401 72ND AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267702",
"telephone_number": "206-860-5575"
}
],
"practiceLocations": [
{
"address_1": "904 7th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981041132",
"country_code": "US",
"telephone_number": "206-860-4478",
"fax_number": "206-325-5150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PESENSON",
"first_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "MD00046540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0255550",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0273315",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00847698",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.