Individual provider Active NPI

Aura L Sanderson, PA-C

  • Medical Physician Assistant
  • Chelan, WA
National Provider Identifier
1508896879
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10004904 Issued in WA
Practice address
105 S Apple Blossom Dr
Chelan, WA 98816
Phone
(509) 682-6000
Fax
(509) 682-6192
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10004904 WA Primary

Addresses

Primary practice location

105 S Apple Blossom Dr
Chelan, WA 98816

Mailing address

600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Other identifiers 1

IdentifierTypeStateIssuer
1012093MedicaidWA

Other names 1

  • Aura L Tinsley Former name

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
I20051214000313 WA Practitioner - Physician Assistant 8628099975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Valley Community HealthGroup PAC ID 7113813874, 64 clinicians

Practice addresses (Care Compare)

105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000

600 Orondo Ave
Wenatchee, WA 98801-2800

Hospital & facility affiliations

  • Lake Chelan Community Hospital Hospital, Chelan, WA, CCN 501334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10004904WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Valley Community Health CurrentSince Oct 17, 2005 Accepting new patients
Columbia Valley Community Health CurrentSince Oct 17, 2005 Accepting new patients
Columbia Valley Community Health Past Accepting new patients

Locations

105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000

900 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000

600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575

Interoperability endpoints

  • Direct secure messaging: aura.sanderson.1@10575.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1508896879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ORONDO AVE",
            "address_2": "STE 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012800",
            "telephone_number": "509-662-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S APPLE BLOSSOM DR",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "98816",
            "telephone_number": "509-682-6000",
            "fax_number": "509-682-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "AURA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012093",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AURA",
            "last_name": "TINSLEY",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chelan, WA

Sources for this page

Verify at the official NPI Registry.