MS. ELLEN MARIE SUNDSTROM RN, FNP-BC
NPI 1962688788
Nurse Practitioner - Family in Seattle, WA

Active since January 10, 2008PECOS Enrolled
ELEANOR HEALTH SEATTLE CLINIC, 1120 E TERRACE STREET SUITE 100, SEATTLE, WA 98122(206) 594-1065(833) 654-0691 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2022, Apr 9, 2021, Aug 5, 2020 and 8 more (11 updates tracked since 2016).

About Ms. Ellen Marie Sundstrom Rn, Fnp-bc NPPES

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

MS. ELLEN MARIE SUNDSTROM RN, FNP-BC (NPI 1962688788) is an individual family provider in Seattle, Washington, licensed in Washington (AP60650034) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962688788
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. ELLEN MARIE SUNDSTROMCredential: RN, FNP-BC
Location AddressELEANOR HEALTH SEATTLE CLINIC, 1120 E TERRACE STREET SUITE 100Seattle, WA 98122-7405
Mailing Address10011 Bridgeport Way Se Suite 1500 Pmb 201Lakewood, WA 98499-2332 · (214) 686-3588
Fax(833) 654-0691
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 10, 2008
Last NPPES UpdateAugust 3, 202311 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
✔ NPI 1962688788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WA · AP60650034✔ Licensed in TX · AP116342✔ Licensed in AZ · 219835✔ Licensed in OR · 201907446NP-PP✔ Licensed in AK · 133766
ELEANOR HEALTH SEATTLE CLINIC, Seattle, WA 98122

Secondary Practice Location 1

Location 18500 Village Dr Ste 101San Antonio, TX 78217-5510 · Phone (726) 201-3047 · Fax (833) 629-0318

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ellen Marie Sundstrom Rn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022189430
PECOS Enrollment IDI20080612000344, I20181115002607, I20241224001442, I20250107003762, I20260401000851
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 Reassignments

5

Medicare enrollment records show Ellen Sundstrom reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Addiction Medicine
4310 COLBY AVE STE 201
Everett, WA 98203
  • Reassigned Medicare billing, Washington enrollment
  • 14 clinicians in this Medicare group
Addiction Medicine
3640 S CEDAR ST STE M
Tacoma, WA 98409
  • Reassigned Medicare billing, Washington enrollment
  • 18 clinicians in this Medicare group
Addiction Psychiatry
1560 BROADWAY OFC 1722
Denver, CO 80202
  • Reassigned Medicare billing, Colorado and Texas enrollments
  • Also billed through NPI 1932854981 (Texas)
  • 6 clinicians in this Medicare group
Addiction Medicine
2250 CHAPEL AVE W STE 120
Cherry Hill, NJ 08002
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group
Addiction Medicine
348 N PEARL ST STE 200
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 16 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 98122 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.

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 Ellen Sundstrom's NPI number?

The NPI number for Ellen Sundstrom is 1962688788. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Where is Ellen Sundstrom located?

Ellen Sundstrom practices at Eleanor Health Seattle Clinic 1120 E Terrace Street Suite 100, Seattle, WA 98122. The listed phone number is (206) 594-1065.

What is Ellen Sundstrom's specialty?

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

Is Ellen Sundstrom enrolled in Medicare?

Yes. Ellen Sundstrom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ellen Sundstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Sundstrom reassigns Medicare benefits to 5 organizations: Eleanor Health Professional Wa, PLLC (Everett, WA), Sound Integrated Health LLC (Tacoma, WA), Eleanor Health Professional Tx, PLLC (Denver, CO), Eleanor Health Professional Nj, LLC (Cherry Hill, NJ) and Eleanor Health Professional Ma, PLLC (Brockton, MA). Each 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 Ellen Sundstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Sundstrom accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ellen Sundstrom 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 Ellen Sundstrom was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.