SARAH ELIZABETH QUEWAKUM PMHNP-BC
NPI 1639450026
Nurse Practitioner - Psychiatric/Mental Health in Lebanon, OR

Active since August 30, 2011PECOS Enrolled
727 E ASH ST, LEBANON, OR 97355(541) 905-1595 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2026, Mar 12, 2026, Sep 3, 2024 and 2 more (5 updates tracked since 2023).

About Sarah Elizabeth Quewakum Pmhnp-bc NPPES

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

SARAH ELIZABETH QUEWAKUM PMHNP-BC (NPI 1639450026) is an individual psychiatric/mental health provider in Lebanon, Oregon, licensed in Oregon (10011107) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639450026
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSARAH ELIZABETH QUEWAKUMCredential: PMHNP-BC
Location Address727 E ASH STLebanon, OR 97355-4416
Mailing Address727 E Ash StLebanon, OR 97355-4416 · (541) 905-1595
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 30, 2011
Last NPPES UpdateApril 1, 20265 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
NPI 1639450026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 10011107
727 E ASH ST, Lebanon, OR 97355

Other Names 1

Former Name (1)Sarah Elizabeth Pete Rn

Other Identifiers 2

Medicaid500820996OR
Other15932722Caqh

Accepted 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)

Sarah Elizabeth Quewakum Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416310024
PECOS Enrollment IDI20240812000822
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 97355 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639450026, enumerated as an "individual" on August 30, 2011.

The provider is located at 727 E ASH ST LEBANON, OR 97355 and the phone number is (541) 905-1595.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to verify.