DR. STEFANIE CLENDANIEL OD
NPI 1194341891
Optometrist in Seattle, WA
About Dr. Stefanie Clendaniel Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEFANIE CLENDANIEL OD (NPI 1194341891) is an individual optometrist in Seattle, Washington, licensed in Washington (OD61058381) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Stefanie Clendaniel Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Stefanie Clendaniel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98109
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Wilmington, DE 19808
- Reassigned Medicare billing, Delaware enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98115
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 Stefanie Clendaniel's NPI number?
The NPI number for Stefanie Clendaniel is 1194341891. It was assigned to this individual provider in the NPPES registry on June 18, 2020.
Where is Stefanie Clendaniel located?
Stefanie Clendaniel practices at 9720 4th Ave NE, Seattle, WA 98115. The listed phone number is (206) 527-7132.
What is Stefanie Clendaniel's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Stefanie Clendaniel enrolled in Medicare?
Yes. Stefanie Clendaniel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stefanie Clendaniel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Clendaniel reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of Washington (Seattle, WA) and Simon Eye Associates PA (Wilmington, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stefanie Clendaniel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stefanie Clendaniel accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Stefanie Clendaniel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stefanie Clendaniel was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Dr. Stefanie Clendaniel, OD · NPI 1194341891
Optometrist provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since June 18, 2020.
## Identity
- **NPI:** 1194341891 (Entity type: Individual)
- **Enumerated:** June 18, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OD61058381 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 9720 4TH AVE NE, Seattle, WA 98115-2143
- **Phone:** (206) 527-7132
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of Washington (NPI 1396810701, Seattle, WA); Simon Eye Associates PA (NPI 1205871506, Wilmington, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 31, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1194341891) · Data from the CMS NPPES public registry.