Individual provider Active NPI

Samantha L Condiotty, ARNP

  • Family Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1184896367
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007899 Issued in WA
Practice address
11522 NE 20TH St
Bellevue, WA 98004-3005
Phone
(425) 462-2531
Fax
(425) 454-6176
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30007899 WA Primary

Addresses

Primary practice location

11522 NE 20TH St
Bellevue, WA 98004-3005

Mailing address

11522 NE 20TH St
Bellevue, WA 98004-3005
Phone (425) 462-2531

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090109000366 WA Practitioner - Nurse Practitioner 3274696786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

1740 NW Maple St
Issaquah, WA 98027-8127

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

Hospital & facility affiliations

  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics, LLC Current Accepting new patients
Overlake Medical Clinics LLC CurrentSince Feb 24, 2017 Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients
Sue Romanick MD PLLC PastSince Sep 1, 2013 Accepting new patients

Locations

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1750 112th Ave NE
Ste A101
Bellevue, WA 98004
Phone (425) 688-5234

6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777

1740 NW Maple St
Ste 207
Issaquah, WA 98027
Phone (425) 391-8626

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1184896367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11522 NE 20TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043005",
            "telephone_number": "425-462-2531",
            "fax_number": "425-454-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11522 NE 20TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043005",
            "telephone_number": "425-462-2531",
            "fax_number": "425-454-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDIOTTY",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.