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DR. SIERRA XAVIER GROUNDS
NPI 1104660836
Student in an Organized Health Care Education/Training Program in Bremerton, WA

Active since June 19, 2024PECOS Enrolled
4207 KITSAP WAY # MS 334-01, BREMERTON, WA 98312(918) 629-9524 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Jun 19, 2024 (2 updates tracked since 2024).

About Dr. Sierra Xavier Grounds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SIERRA XAVIER GROUNDS (NPI 1104660836) is an individual student in an organized health care education/training program in Bremerton, Washington and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104660836
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SIERRA XAVIER GROUNDS
Location Address4207 KITSAP WAY # MS 334-01Bremerton, WA 98312-2447
Mailing Address4207 Kitsap Way # Ms 334-01Bremerton, WA 98312-2447 · (918) 629-9524
Phone(918) 629-9524
Sole ProprietorYes
Enumeration DateJune 19, 2024
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1104660836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4207 KITSAP WAY # MS 334-01, Bremerton, WA 98312
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sierra Xavier Grounds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH NARESE JOHNSTONE MD
Student in an Organized Health Care Education/Training Program
4207 KITSAP WAY # MS 334-01
BREMERTON, WA 98312
Kitsap County (360) 415-1080
JOHN MALCOLM MCPHERSON DO
Student in an Organized Health Care Education/Training Program
4207 KITSAP WAY # MS 334-01
BREMERTON, WA 98312
Kitsap County (253) 405-2663
SAMANTHA HAUBEIL DO
Student in an Organized Health Care Education/Training Program
4207 KITSAP WAY # MS 334-01
BREMERTON, WA 98312
Kitsap County (360) 782-7709
MAILE NGUYEN
Student in an Organized Health Care Education/Training Program
4207 KITSAP WAY # MS 334-01
BREMERTON, WA 98312
Kitsap County (360) 782-7709
THUY-MAI THI LE
Student in an Organized Health Care Education/Training Program
4207 KITSAP WAY # MS 334-01
BREMERTON, WA 98312
Kitsap County (941) 356-1010
AUTUMN FAITH WELKER MD
Student in an Organized Health Care Education/Training Program
4207 KITSAP WAY # MS 334-01
BREMERTON, WA 98312
Kitsap County (360) 415-1080
OIIVIA ROMAS DO
Student in an Organized Health Care Education/Training Program
4207 KITSAP WAY # MS 334-01
BREMERTON, WA 98312
Kitsap County (630) 335-0344
ADNAN SADRUDDIN
Student in an Organized Health Care Education/Training Program
4207 KITSAP WAY # MS 334-01
BREMERTON, WA 98312
Kitsap County (360) 415-1080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Grounds's NPI number?

The NPI number for Sierra Grounds is 1104660836. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Sierra Grounds located?

Sierra Grounds practices at 4207 Kitsap Way # Ms 334-01, Bremerton, WA 98312. The listed phone number is (918) 629-9524.

What is Sierra Grounds's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sierra Grounds enrolled in Medicare?

Yes. Sierra Grounds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sierra Grounds was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.