Individual provider Active NPI

Vanessa Kathleen Sanne, RN, FNP-C

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1457659922
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201050213NP Issued in OR
Practice address
265 N Broadway St
Portland, OR 97227-1800
Phone
(503) 280-1223
Fax
(503) 528-5252
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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 201050213NP OR Primary

Addresses

Primary practice location

265 N Broadway St
Portland, OR 97227-1800

Mailing address

1338 SE 61St PL
Hillsboro, OR 97123-6789
Phone (503) 356-2385

Other identifiers 1

IdentifierTypeStateIssuer
500638078MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MP, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110607000163 OR Practitioner - Nurse Practitioner 2365629078 Reassigns benefits to 1 organization
I20240402003162 MP Practitioner - Nurse Practitioner 2365629078 Reassigns benefits to 1 organization
I20260317001240 HI Practitioner - Nurse Practitioner 2365629078 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Healthcare CorporationGroup PAC ID 7719075167, 79 clinicians
The Queens Medical CenterGroup PAC ID 3476454067, 191 clinicians

Practice addresses (Care Compare)

1 Lower Navy Hill Rd
Saipan, MP 96950
Phone (670) 234-8950

1 Lower Navy Hill Rd
Saipan, MP 96950-0409

1301 Punchbowl St
Honolulu, HI 96813-2499

550 S Beretania St
Honolulu, HI 96813-2496

PO Box
Saipan, MP 96950

Hospital & facility affiliations

  • Commonwealth Health Center Hospital, Garapan, MP, CCN 660001
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201050213NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Queens University Medical Group CurrentSince Feb 17, 2026 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Jan 31, 2024 Accepting new patients
The Queens Medical Center CurrentSince Feb 17, 2026 Accepting new patients
Queens North Hawaii Community Hospital Family CurrentSince Feb 17, 2026 Accepting new patients
North Hawaii Community Hospital CurrentSince Feb 17, 2026 Accepting new patients
Commonwealth Healthcare Corporation Current Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Jan 31, 2024 Accepting new patients
The Queen'S Medical Center CurrentSince Feb 17, 2026 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

Interoperability endpoints

  • Direct secure messaging: vanessa.sanne@compass.ikm.direct-ci.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.

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1457659922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 SE 61ST PL",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236789",
            "telephone_number": "503-356-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271800",
            "telephone_number": "503-280-1223",
            "fax_number": "503-528-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNE",
        "first_name": "VANESSA",
        "middle_name": "KATHLEEN",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201050213NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500638078",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.