Individual provider Active NPI

Sonja Maria Piber, P.A.-C

  • Physician Assistant
  • Bremerton, WA
National Provider Identifier
1902815004
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 60115633 Issued in WA
Practice address
2520 Cherry Ave
Bremerton, WA 98310-4229
Phone
(360) 377-2349
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103337 FL
Physician Assistant 363A00000X PA 60115633 WA Primary

Addresses

Primary practice location

2520 Cherry Ave
Bremerton, WA 98310-4229

Mailing address

PO Box 3466
Silverdale, WA 98383-3466
Phone (360) 377-2349

Other identifiers 2

IdentifierTypeStateIssuer
8887677OtherWAMEDICARE
8558728MedicaidWA

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
I20100120000874 WA Practitioner - Physician Assistant 3274547260 Reassigns benefits to 4 organizations

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
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

12710 Totem Lake Blvd NE
Kirkland, WA 98034-2907
Phone (425) 821-4040

14720 Main St NE
Suite 109
Duvall, WA 98019-8460
Phone (425) 788-4889

14841 179TH Ave SE
Monroe, WA 98272-1127

16916 140TH Ave NE
Woodinville, WA 98072-6957

18151 68TH Ave NE
Suite 100
Kenmore, WA 98028-2835
Phone (425) 485-6561

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

4220 132ND St SE
Suite 103
Mill Creek, WA 98012-8999
Phone (425) 225-1210

8980 161St Ave NE
Redmond, WA 98052-7554

Hospital & facility affiliations

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

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103337FLMDPhysician Assistant
PA 60115633WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Jul 21, 2015 Accepting new patients
Emergency Physicians of Naples PLLC Past Accepting new patients
Cep America LLC Physician Assistant 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

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

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

14841 179th Ave SE
Ste 230
Monroe, WA 98272
Phone (360) 794-8183

Organizations & group practices 7

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1902815004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3466",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833466",
            "telephone_number": "360-377-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104229",
            "telephone_number": "360-377-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIBER",
        "first_name": "SONJA",
        "middle_name": "MARIA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103337",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60115633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8887677",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8558728",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.