SARAH ASHLEY MADISON ARNP
NPI 1376207027
Nurse Practitioner - Family in Redmond, WA

Active since October 28, 2021PECOS EnrolledAccepts Medicare Assignment
8201 164TH AVE NE STE 325, REDMOND, WA 98052(425) 818-5311(425) 434-1755 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2024, Aug 8, 2024 (2 updates tracked since 2024).

About Sarah Ashley Madison Arnp NPPES

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

SARAH ASHLEY MADISON ARNP (NPI 1376207027) is an individual family provider in Redmond, Washington, licensed in Washington (AP61590299) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376207027
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH ASHLEY MADISONCredential: ARNP
Location Address8201 164TH AVE NE STE 325Redmond, WA 98052-7615
Mailing Address8201 164th Ave Ne Ste 325Redmond, WA 98052-7615 · (425) 818-5311 · Fax (425) 434-1755
Fax(425) 434-1755
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 28, 2021
Last NPPES UpdateJune 18, 20262 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1376207027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP61590299
Also ListedRegistered NurseTaxonomy 163W00000X · License RN61206900 (WA)
8201 164TH AVE NE STE 325, Redmond, WA 98052

Secondary Practice Locations 3

Location 11507 29th Ave SSeattle, WA 98144-3803 · Phone (360) 909-3720
Location 25950 6th Ave S Ste 100Seattle, WA 98108-3317 · Phone (206) 805-1930
Location 32811 S 102nd St Ste 220Tukwila, WA 98168-1869 · Phone (206) 320-4000

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

Sarah Ashley Madison Arnp 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.

PECOS PAC ID941739874
PECOS Enrollment IDI20250122002437
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.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Madison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
8201 164TH AVE NE STE 325
Redmond, WA 98052
  • Reassigned Medicare billing, Washington enrollment
  • 10 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 98052 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
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
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 10

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

Nurse Practitioner (Family)
8201 164TH AVE NE STE 325
REDMOND, WA 98052
Clinic/Center (Primary Care)
8201 164TH AVE NE STE 325
REDMOND, WA 98052
Nurse Practitioner (Family)
8201 164TH AVE NE STE 325
REDMOND, WA 98052
Nurse Practitioner (Gerontology)
8201 164TH AVE NE STE 325
REDMOND, WA 98052
Nurse Practitioner (Acute Care)
8201 164TH AVE NE STE 325
REDMOND, WA 98052
Nurse Practitioner (Gerontology)
8201 164TH AVE NE STE 325
REDMOND, WA 98052
Nurse Practitioner (Gerontology)
8201 164TH AVE NE STE 325
REDMOND, WA 98052
Nurse Practitioner (Acute Care)
8201 164TH AVE NE STE 325
REDMOND, WA 98052

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 Sarah Madison's NPI number?

The NPI number for Sarah Madison is 1376207027. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Sarah Madison located?

Sarah Madison practices at 8201 164th Ave NE Ste 325, Redmond, WA 98052. The listed phone number is (425) 818-5311.

What is Sarah Madison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sarah Madison enrolled in Medicare?

Yes. Sarah Madison 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 organization bills Medicare for Sarah Madison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Madison reassigns Medicare benefits to Pathway Geriatrics PLLC (Redmond, WA). The 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 Sarah Madison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Madison accept?

Health plans from Ambetter Health list Sarah Madison 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 Sarah Madison was last updated on June 18, 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.