Individual provider Active NPI

Mary Dawn Sienkiewicz, ARNP

  • Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1245413533
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30007980 Issued in WA
Practice address
1231 116TH Ave NE Ste 950
Bellevue, WA 98004-3832
Phone
(206) 328-7734
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00166727 WA
Nurse Practitioner 363L00000X AP30007980 WA Primary

Addresses

Primary practice location

1231 116TH Ave NE Ste 950
Bellevue, WA 98004-3832

Mailing address

2612 NE 137TH St
Seattle, WA 98125-3442

Other identifiers 1

IdentifierTypeStateIssuer
1089427MedicaidWA

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
I20160210002615 WA Practitioner - Nurse Practitioner 5395049415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00166727WAMDRegistered Nurse
AP30007980WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Apr 1, 2016 Accepting new patients
Overlake Medical Clinics, LLC PastSince Mar 5, 2018 Accepting new patients

Locations

4245 Roosevelt Way NE
Fl 3
Seattle, WA 98105
Phone (206) 598-6288

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

825 Eastlake Ave E
Seattle, WA 98109
Phone (206) 288-1000

Interoperability endpoints

  • Direct secure messaging: msienkiewicz412529@direct.ehre.uwmedicine.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1245413533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 NE 137TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 116TH AVE NE STE 950",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043832",
            "telephone_number": "206-328-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIENKIEWICZ",
        "first_name": "MARY",
        "middle_name": "DAWN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00166727",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1089427",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.