Individual provider Active NPI

Sara Suzanne Kemp

  • Hospitalist Physician
  • Princeton, MN
National Provider Identifier
1790051167
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OP60626338 Issued in WA
Practice address
911 Northland Dr
Princeton, MN 55371-2172
Phone
(763) 389-1313
Fax
(763) 389-6306
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP60626338 WA
Hospitalist Physician 208M00000X OP60626338 WA Primary

Addresses

Primary practice location

911 Northland Dr
Princeton, MN 55371-2172

Mailing address

400 NE Mother Joseph PL
Vancouver, WA 98664-3200

Other practice location 1

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-3727

Other practice location 2

3110 MacCorkle Ave SE
Charleston, WV 25304-1210
Phone (304) 768-3941

Other practice location 3

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-3727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MN, NM3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160711000027 WA Practitioner - HospitalistPractitioner - Internal Medicine 7517117757 Reassigns benefits to 5 organizations
I20220810000868 MN Practitioner - Internal Medicine 7517117757 Reassigns benefits to 3 organizations
I20230608001092 NM Practitioner - Internal MedicinePractitioner - Hospitalist 7517117757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of WashingtonGroup PAC ID 9032022579, 1,519 clinicians

Practice addresses (Care Compare)

11511 NE 10TH St
Bellevue, WA 98004-8578
Phone (425) 502-3000

Hospital & facility affiliations

  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60626338WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 21, 2022 Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Jul 11, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince May 1, 2016 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince May 8, 2023 Accepting new patients
Multicare Health System CurrentSince Oct 14, 2019 Accepting new patients
Grays Harbor County Public Hospital District No 1 Current Accepting new patients
Range Regional Health Services CurrentSince Jun 17, 2024 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Range Regional Health Services CurrentSince Jun 17, 2024 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Apr 1, 2023 Accepting new patients
Grays Harbor County Public Hospital District No. 1 CurrentSince Feb 1, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Fairview Health Services Current Accepting new patients
Range Regional Health Services Current Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Feb 1, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Apr 1, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince May 28, 2022 Accepting new patients
Multicare Health System CurrentSince Oct 14, 2019 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince May 8, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 21, 2022 Accepting new patients
Public Hospital District No 4, King County Wa Internal Medicine Past Accepting new patients

Locations (25 of 26)

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

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

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

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

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: skemp4028619@ghc.direct-ci.net
  • Direct secure messaging: skemp229273@direct.phs.org

Organizations & group practices 26

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.

View all 26

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1790051167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NE MOTHER JOSEPH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NORTHLAND DR",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712172",
            "telephone_number": "763-389-1313",
            "fax_number": "763-389-6306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98664",
            "country_code": "US",
            "telephone_number": "360-514-3727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041210",
            "country_code": "US",
            "telephone_number": "304-768-3941",
            "fax_number": "304-766-4391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98664",
            "country_code": "US",
            "telephone_number": "360-514-3727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMP",
        "first_name": "SARA",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP60626338",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "OP60626338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, MN

Sources for this page

Verify at the official NPI Registry.