ELLENDEE PEPPER MD
NPI 1861577223
Dermatology in Renton, WA
About Ellendee Pepper Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLENDEE PEPPER MD (NPI 1861577223) is an individual dermatology provider in Renton, Washington, licensed in Washington (MD00022801) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellendee Pepper Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ellendee Pepper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Renton, WA 98055
- Reassigned Medicare billing, Washington enrollment
- 689 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 98057 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RENTON, WA 98057
RENTON, WA 98057
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 Ellendee Pepper's NPI number?
The NPI number for Ellendee Pepper is 1861577223. It was assigned to this individual provider in the NPPES registry on October 26, 2006.
Where is Ellendee Pepper located?
Ellendee Pepper practices at 660 SW 39th St Ste 150, Renton, WA 98057. The listed phone number is (425) 793-4700.
What is Ellendee Pepper's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Ellendee Pepper enrolled in Medicare?
Yes. Ellendee Pepper is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ellendee Pepper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellendee Pepper reassigns Medicare benefits to Valley Medical Group-Renton (Renton, 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 Ellendee Pepper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ellendee Pepper was last updated on August 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ellendee Pepper, MD · NPI 1861577223
Dermatology physician in Renton, Washington. Individual provider, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1861577223 (Entity type: Individual)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** MD00022801 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 660 SW 39TH ST, STE 150, Renton, WA 98057-4912
- **Phone:** (425) 793-4700 · **Fax:** (425) 656-4046
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Valley Medical Group-Renton (NPI 1619209574, Renton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2017
- **Other identifiers:** Other 0123182 (WA); Medicare UPIN A06755; Other 070011908 (WA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1861577223) · Data from the CMS NPPES public registry.