Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871284737 Individual Practitioner Female Practitioner

Samantha Pedersen , RN

Nurse Practitioner • Prosser, WA

Professional Overview & Biography Verified Profile Summary

Samantha Pedersen, RN is a registered healthcare professional specializing in Nurse Practitioner in Prosser, WA. Practice services are available at 336 CHARDONNAY AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

336 Chardonnay Ave Ste A

Prosser, WA 993509515

Telephone 5097861576
Associated Practice Facility / Clinic
🏢 Walla Walla General Hospital Facility NPI 1376894048

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Prosser, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Prosser, WA (2339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP61453730

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Dr. Adrian Mercado , DPT

Physical Therapist

NPI 1013656487

Doctor of Physical Therapy

Jayme Swanson

Family Medicine

NPI 1033565726
NPI 1043884547

Master of Science in Nursing, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

NPI 1083091466

Doctor of Medicine (M.D.)

Idalis Licea

Registered Nurse - Ambulatory Care

NPI 1407789001
Emmalee Mason , MS CF-SLP

Speech-Language Pathologist

NPI 1508502931

MSCFSLP

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address June 15, 2023

Registered at 336 CHARDONNAY AVE, PROSSER, WA 993509515

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2023

Nurse Practitioner (License #AP61453730 in WA)

NPI Profile Active May 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2023

Registered at 336 CHARDONNAY AVE STE A, PROSSER, WA 993509515 (Tel: 5097861576)

📍
Updated Business Mailing Address May 19, 2023

Registered at 4682 ROARK DR, RICHLAND, WA 993527886

👤
Provider Name / Credentials Updated May 19, 2023

Recorded as SAMANTHA PEDERSEN, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 19, 2023

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: 1871284737
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2023
Last Update: June 15, 2023
Sole Proprietor: Yes

Mailing Address

336 Chardonnay Ave

Prosser, WA 993509515

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.