AUDREY CAROLINE SAMELSON LIVESEY MD
NPI 1972946507
Family Medicine - Sports Medicine in Silverdale, WA

Active since April 13, 2013PECOS Enrolled
2050 BARB ST, SILVERDALE, WA 98315(360) 315-4365 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 30, 2024, Dec 4, 2023, Oct 6, 2022 (3 updates tracked since 2022).

About Audrey Caroline Samelson Livesey Md NPPES

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

AUDREY CAROLINE SAMELSON LIVESEY MD (NPI 1972946507) is an individual sports medicine provider in Silverdale, Washington, licensed in Nebraska (28115) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972946507
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameAUDREY CAROLINE SAMELSON LIVESEYCredential: MD
Location Address2050 BARB STSilverdale, WA 98315-2050
Mailing Address2050 Barb StSilverdale, WA 98315-2050
Sole ProprietorNo
Enumeration DateApril 13, 2013
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1972946507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in NE · 28115
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

2050 BARB ST, Silverdale, WA 98315

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Audrey Caroline Samelson Livesey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98315 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 14

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

Dentist (General Practice)
2050 BARB ST, SUITE B
SILVERDALE, WA 98315
Military Health Care Provider (Independent Duty Corpsman)
2050 BARB ST
SILVERDALE, WA 98315
Military Health Care Provider (Independent Duty Corpsman)
2050 BARB ST
SILVERDALE, WA 98315
Dentist (General Practice)
2050 BARB ST, SUITE #B
SILVERDALE, WA 98315
Physician Assistant
2050 BARB ST
SILVERDALE, WA 98315
Dental Hygienist
2050 BARB ST
SILVERDALE, WA 98315
Clinic/Center (Military/U.S. Coast Guard Outpatient)
2050 BARB ST
SILVERDALE, WA 98315
Military Health Care Provider
2050 BARB ST
SILVERDALE, WA 98315

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972946507, enumerated as an "individual" on April 13, 2013.

The provider is located at 2050 BARB ST SILVERDALE, WA 98315 and the phone number is (360) 315-4365.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.