Individual provider Active NPI

Daisy Sajuan, NP-C

  • Nurse Practitioner
  • Bridgeport, WA
National Provider Identifier
1912675810
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP.61536780-NP Issued in WA
Practice address
1015 Columbia Ave
Bridgeport, WA 98813-9805
Phone
(800) 660-2129
Fax
(855) 204-8848
NPI assigned
Sep 3, 2021
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP.61536780-NP WA Primary
Nurse Practitioner 363L00000X 209023416 IL

Addresses

Primary practice location

1015 Columbia Ave
Bridgeport, WA 98813-9805

Mailing address

PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 422-7670

Other practice location 1

40 75th St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211001002847 IL Practitioner - Nurse Practitioner 3870991037 Reassigns benefits to 1 organization
I20240618004513 CA Practitioner - Nurse Practitioner 3870991037 Reassigns benefits to 3 organizations
I20260520001134 WA Practitioner - Nurse Practitioner 3870991037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health CentersGroup PAC ID 9739076217, 31 clinicians

Practice addresses (Care Compare)

1003 Koala Dr
Omak, WA 98841-9247
Phone (509) 422-5700

1015 Columbia Ave
Bridgeport, WA 98813-9900
Phone (509) 686-0683

106 S Whitcomb
Tonasket, WA 98855-9286
Phone (509) 486-0114

1400 Tacoma Ave
Bridgeport, WA 98813
Phone (800) 660-2129

716 1St Ave S
Okanogan, WA 98840-9679
Phone (509) 422-5700

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209023416ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Jan 26, 2026 Accepting new patients
County of San Joaquin CurrentSince Feb 11, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 1, 2021 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Sep 1, 2021 Accepting new patients
Sonora Community Hospital CurrentSince May 6, 2024 Accepting new patients
Sonora Community Hospital CurrentSince May 6, 2024 Accepting new patients
County of San Joaquin CurrentSince Feb 11, 2025 Accepting new patients
Sonora Community Hospital Current Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

150 Harbour Way
Richmond, CA 94801
Phone (510) 237-9537

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6920

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Interoperability endpoints

  • Direct secure messaging: daisy.sajuan.p1@direct.rrhc.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1912675810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "988401340",
            "telephone_number": "509-422-7670",
            "fax_number": "509-422-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 COLUMBIA AVE",
            "city": "BRIDGEPORT",
            "state": "WA",
            "postal_code": "988139805",
            "telephone_number": "800-660-2129",
            "fax_number": "855-204-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 75th St",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605272325",
            "country_code": "US",
            "telephone_number": "630-581-5372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAJUAN",
        "first_name": "DAISY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP.61536780-NP",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209023416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WA

Sources for this page

Verify at the official NPI Registry.