Individual provider Active NPI

Shaun Saunders, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1780325829
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP61271380 Issued in WA
Practice address
2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone
(360) 788-6300
NPI assigned
Apr 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP61271380 WA
Acute Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2100X AP61271380 WA Primary

Addresses

Primary practice location

2901 Squalicum Pkwy
Bellingham, WA 98225-1851

Mailing address

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-6841

Other practice location 1

2000 Hospital Drive
Sedro Woolley, WA 98284-1851
Phone (360) 856-7581

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
I20220726003826 WA Practitioner - Nurse Practitioner 2062894892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 734-5400

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61271380WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Single Specialty CurrentSince Jun 14, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Single Specialty Current Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince Jun 1, 2022 Accepting new patients
Peacehealth Past Accepting new patients

Locations

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: ssaunders15878@direct.peacehealth.org

Organizations & group practices 5

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1780325829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251851",
            "telephone_number": "360-788-6841",
            "fax_number": "360-788-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251851",
            "telephone_number": "360-788-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982841851",
            "country_code": "US",
            "telephone_number": "360-856-7581",
            "fax_number": "360-856-7252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "SHAUN",
        "name_prefix": "Mr.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61271380",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP61271380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.