SANDRA M MORAN NP
NPI 1700097508
Nurse Practitioner in Yakima, WA

Q: What is Sandra Moran's NPI number?

The NPI number for Sandra Moran is 1700097508. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Sandra Moran's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Moran was last updated on March 11, 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.

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment

2205 W LINCOLN AVE, YAKIMA, WA 98902(509) 469-6305(509) 575-3398 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Sandra M Moran Np NPPES

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

SANDRA M MORAN NP (NPI 1700097508) is an individual nurse practitioner in Yakima, Washington, licensed in California (13906) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palm Springs, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1700097508

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSANDRA M MORANCredential: NP

Location Address2205 W LINCOLN AVEYakima, WA 98902-2437

Mailing Address2205 W Lincoln AveYakima, WA 98902-2437 · (509) 469-6305 · Fax (509) 575-3398

Phone(509) 469-6305

Fax(509) 575-3398

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 24, 2007

Last NPPES UpdateMarch 11, 2022

NPPES CertifiedMarch 11, 2022

✔ NPI 1700097508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 13906

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2205 W LINCOLN AVE, Yakima, WA 98902

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Secondary Practice Location 1

Location 11100 N Palm Canyon Dr Ste 212Palm Springs, CA 92262-4426 · Phone (760) 327-7900 · Fax (760) 327-7905

Other Identifiers 4

MedicaidGR0101241CA

MedicaidGR0101240CA

OtherZZZ27958ZCA · Medicare Group Id

MedicaidGR0101242CA

Accepted Insurance

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

Sandra M Moran Np 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 ID3577844299

PECOS Enrollment IDI20170111001323, I20220323002830

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 Sandra Moran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yakima Valley Farm Workers Clinic

Same address

Federally Qualified Health Center (FQHC)

2205 W LINCOLN AVE
Yakima, WA 98902

Reassigned Medicare billing, Washington enrollment
252 clinicians in this Medicare group

NPI 1659407872 (509) 575-1990

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 98902 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

FLOR MAGALY GUTIERREZ

Counselor (Mental Health)