Individual provider Active NPI

Sarah L Stacpoole, ARNP, DNP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1407481690
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61325624 Issued in WA
Practice address
1221 Madison St Ste 200
Seattle, WA 98104-4304
Phone
(206) 386-2126
Fax
(206) 991-2363
NPI assigned
Mar 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 RN60803589 WA
Nurse Practitioner 363L00000X AP61325624 WA Primary

Addresses

Primary practice location

1221 Madison St Ste 200
Seattle, WA 98104-4304

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
2223943MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60803589WAMDRegistered Nurse
AP61325624WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Specialties PLLC CurrentSince Oct 27, 2022 Accepting new patients
Swedish Health Services PastSince Aug 7, 2023 Accepting new patients
Northwest Medical Specialties Pharmacy PastSince Oct 27, 2022 Accepting new patients

Locations

1624 S I St
Ste 102
Tacoma, WA 98405
Phone (253) 383-3366

1624 S I St
Ste 305
Tacoma, WA 98405

Organizations & group practices 3

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": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1407481690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981044304",
            "telephone_number": "206-386-2126",
            "fax_number": "206-991-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACPOOLE",
        "first_name": "SARAH",
        "middle_name": "L",
        "credential": "ARNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60803589",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61325624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2223943",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.