Individual provider Active NPI

Anita E Tsen, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Everett, WA
National Provider Identifier
1235159047
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
D0064666 Issued in MD
Practice address
12728 19TH Ave. SE
Suite 200
Everett, WA 98208-6647
Phone
(425) 252-1116
Fax
(425) 252-1118
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0064666 MD Primary

Addresses

Primary practice location

12728 19TH Ave. SE
Suite 200
Everett, WA 98208-6647

Mailing address

12728 19TH Ave SE
Suite 200
Everett, WA 98208-6647
Phone (425) 252-1116

Other identifiers 3

IdentifierTypeStateIssuer
236297OtherWADEPT OF LABOR AND INDUSTRIES
8513889MedicaidWA
P00717630OtherWARR MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000254 WA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3072510585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pediatric Medicine
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0064666MDMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Sep 1, 2008 Accepting new patients
Western Washington Medical Group, Inc PS Critical Care Medicine CurrentSince Sep 1, 2008 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS Critical Care Medicine Past Accepting new patients
St Paul Place Specialists Inc Past Accepting new patients
Saint Paul Place Specialists, Inc. Critical Care Medicine Past Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

12728 19th Ave SE
Ste 200
Everett, WA 98208
Phone (425) 252-1116

1728 W Marine View Dr
Ste 111
Everett, WA 98201

Interoperability endpoints

  • Direct secure messaging: atsen727175@direct.multicare.org
  • Direct secure messaging: atsen45654@skagit.direct-ci.com

Organizations & group practices 8

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 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1235159047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE SE",
            "address_2": "SUITE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086647",
            "telephone_number": "425-252-1116",
            "fax_number": "425-252-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE. SE",
            "address_2": "SUITE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086647",
            "telephone_number": "425-252-1116",
            "fax_number": "425-252-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSEN",
        "first_name": "ANITA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0064666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND INDUSTRIES",
            "identifier": "236297",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8513889",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00717630",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.