Individual provider Active NPI

Sarah Alice Mpare, FNP

  • Family Nurse Practitioner
  • Redmond, WA
National Provider Identifier
1700216025
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60417507 Issued in WA
Practice address
17612 NE 30TH PL
Redmond, WA 98052-5760
Phone
(509) 879-3788
Fax
(425) 968-5400
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 AP60417507 WA Primary

Addresses

Primary practice location

17612 NE 30TH PL
Redmond, WA 98052-5760

Mailing address

17612 NE 30TH PL
Redmond, WA 98052-5760
Phone (509) 879-3788

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
I20140319000311 WA Practitioner - Nurse Practitioner 4587895446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

11521 NE 128TH St
Kirkland, WA 98034-4317

12033 NE 130TH LN
Suite 120
Kirkland, WA 98034-3052
Phone (425) 899-2160

12039 NE 128TH St
Kirkland, WA 98034-3029

12303 NE 130TH LN
Suite 420
Kirkland, WA 98034-3042
Phone (425) 899-6400

1909 214TH St SE
Suite 110
Bothell, WA 98021-4412
Phone (425) 488-4988

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124
  • Evergreenhealth Monroe Hospital, Monroe, WA, CCN 500084

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60417507WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No. 2 Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Sep 16, 2014 Accepting new patients
Onsite Wellness Group Family Current Accepting new patients
King County Public Hospital District No 2 CurrentSince Sep 16, 2014 Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

6520 226th Pl SE
Ste 120
Issaquah, WA 98027
Phone (425) 391-8886

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

12303 NE 130th Ln
Ste 230
Kirkland, WA 98034
Phone (425) 899-3888

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

Organizations & group practices 6

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": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1700216025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17612 NE 30TH PL",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525760",
            "telephone_number": "509-879-3788",
            "fax_number": "425-968-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17612 NE 30TH PL",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525760",
            "telephone_number": "509-879-3788",
            "fax_number": "425-968-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MPARE",
        "first_name": "SARAH",
        "middle_name": "ALICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60417507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.