1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Physician Assistant
  6. NPI Profile

SANDRA LORENA BENITEZ KRUIDENIER PA-C
NPI 1255874079
Physician Assistant in Seattle, WA

Active since November 28, 2016PECOS Enrolled
1221 MADISON ST, STE 1020, SEATTLE, WA 98104(206) 215-2658(206) 991-2363 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2022, Oct 14, 2019, Aug 5, 2019 (3 updates tracked since 2019).

About Sandra Lorena Benitez Kruidenier Pa-c NPPES

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

SANDRA LORENA BENITEZ KRUIDENIER PA-C (NPI 1255874079) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA61115668) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255874079
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSANDRA LORENA BENITEZ KRUIDENIERCredential: PA-C
Location Address1221 MADISON ST, STE 1020Seattle, WA 98104-1380
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(206) 215-2658
Fax(206) 991-2363
Sole ProprietorNo
Enumeration DateNovember 28, 2016
Last NPPES UpdateJanuary 17, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2022
✔ NPI 1255874079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA61115668
Definition
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.
1221 MADISON ST, Seattle, WA 98104
Open in Google Maps ↗

Other Names 1

Other Name (5)Sandra Lorena Benitez

Other Identifiers 1

Medicaid1255874079WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Lorena Benitez Kruidenier Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PET-CT IMAGING AT SWEDISH CANCER INSTITUTE LLC
Radiology (Diagnostic Radiology)
1221 MADISON ST, STE 150
SEATTLE, WA 98104
King County (206) 215-6487
JULIA CAROLYN BOKMA PARKER DNP, ARNP, BSN, OCN
Nurse Practitioner (Adult Health)
1221 MADISON ST, STE 1020
SEATTLE, WA 98104
King County (206) 215-2658
SWEDISH HEALTH SERVICES
Surgery
1221 MADISON ST, STE 1411
SEATTLE, WA 98104
King County (206) 386-6700
MARTHA A. CLAY ARNP
Nurse Practitioner (Adult Health)
1221 MADISON ST, SUITE 400
SEATTLE, WA 98104
King County (206) 215-6400
SWATHI NAMBURI MD
Internal Medicine (Hematology & Oncology)
1221 MADISON ST, STE 1020
SEATTLE, WA 98104
King County (206) 215-2658
DR. MARC HORTON MD
Surgery
1221 MADISON ST
SEATTLE, WA 98104
King County (206) 386-6700
LASER VISION CENTERS, INC.
Clinic/Center
1221 MADISON ST, STE. 690
SEATTLE, WA 98104
King County (206) 215-3555
JILL RENDER M.D.
Pediatrics
1221 MADISON ST, SUITE 910
SEATTLE, WA 98104
King County (206) 329-1760

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 Sandra Benitez Kruidenier's NPI number?

The NPI number for Sandra Benitez Kruidenier is 1255874079. It was assigned to this individual provider in the NPPES registry on November 28, 2016. The provider is also known as Sandra Lorena Benitez.

Where is Sandra Benitez Kruidenier located?

Sandra Benitez Kruidenier practices at 1221 Madison St Ste 1020, Seattle, WA 98104. The listed phone number is (206) 215-2658.

What is Sandra Benitez Kruidenier's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sandra Benitez Kruidenier enrolled in Medicare?

Yes. Sandra Benitez Kruidenier is registered in the Medicare PECOS enrollment system.

What insurance does Sandra Benitez Kruidenier accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sandra Benitez Kruidenier 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 Sandra Benitez Kruidenier was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.