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Active NPI 1790790137 Individual Practitioner Female Practitioner

Susan M Sanborn , PA-C

Physician Assistant • Enumclaw, WA

Professional Overview & Biography Verified Profile Summary

Susan Sanborn, PA-C is a registered healthcare professional specializing in Physician Assistant in Enumclaw, WA. Practice services are available at 3021 GRIFFIN AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3021 Griffin Ave

Enumclaw, WA 980222369

Telephone 3608256511
Fax 3608256536
Associated Practice Facility / Clinic
🏢 Franciscan Medical Group Facility NPI 1801825641

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Enumclaw, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Enumclaw, WA (3774 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
21 14 $295.19 $100.81
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $201.09 $68.99

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10002391

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8370843 (WA)
Commercial Insurance / Payer ID State L&i
0131056 (WA)
Commercial Insurance / Payer ID State Crime Victims
8929994 (WA)
Commercial Insurance / Payer ID Medicare Railroad
97008681 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Kashish Goyal

Family Medicine

NPI 1134672298
Dr. Michael Miller , MD

Orthopaedic Surgery

NPI 1164419685

Doctor of Medicine (M.D.)

Jennifer Erickson , PA-C

Physician Assistant

NPI 1194045682

Physician Assistant (Certified)

Joy Frey , ARNP

Nurse Practitioner - Family

NPI 1194243915

Advanced Registered Nurse Practitioner

Dr. Craig Tuohy , MD

Internal Medicine - Gastroenterology

NPI 1225043086

Doctor of Medicine (M.D.)

Shannon Pendleton , NP

Nurse Practitioner - Family

NPI 1265866313

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2010

Registered at 3021 GRIFFIN AVE, ENUMCLAW, WA 980222369 (Tel: 3608256511)

📍
Updated Business Mailing Address November 17, 2010

Registered at 3021 GRIFFIN AVE, ENUMCLAW, WA 980222369 (Tel: 3608256511)

👤
Provider Name / Credentials Updated November 17, 2010

Recorded as SUSAN SANBORN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2010

Physician Assistant (License #PA10002391 in WA)

🟢
Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790790137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: November 17, 2010
Sole Proprietor: No

Mailing Address

3021 Griffin Ave

Enumclaw, WA 980222369

Phone: 3608256511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.