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PEACEHEALTH
NPI 1003194911
Internal Medicine - Cardiovascular Disease in Vancouver, WA

Active since July 26, 2011CLIA Certified · 5 labs
200 NE MOTHER JOSEPH PL STE 400, VANCOUVER, WA 98664(360) 256-2640 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2026, Aug 7, 2025 (2 updates tracked since 2025).

About Peacehealth NPPES

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

PEACEHEALTH (NPI 1003194911), doing business as Peacehealth Sw Heart & Vascular Center, is a healthcare organization registered as a cardiovascular disease in Vancouver, Washington and active in the NPI registry since July 2011. The organization holds 5 active CLIA laboratory certificates and lists Arthur Craig Springer, Sys Vp Fin Integrity/controller, as its authorized official.

NPPES Registry Identity

NPI1003194911
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePEACEHEALTH
Location Address200 NE MOTHER JOSEPH PL STE 400Vancouver, WA 98664-3290
Mailing AddressPo Box 1588Vancouver, WA 98668-1588
Phone(360) 256-2640
Organization SubpartYes
Authorized OfficialArthur Craig SpringerSys Vp Fin Integrity/controller · (360) 729-1132
Enumeration DateJuly 26, 2011
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1003194911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
200 NE MOTHER JOSEPH PL STE 400, Vancouver, WA 98664
Open in Google Maps ↗

Other Names 1

Doing Business AsPeacehealth Sw Heart & Vascular Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peacehealth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

244

Medicare enrollment records show 244 clinicians reassign Medicare billing to Peacehealth, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 162 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Family Practice39
Nurse Practitioner28
Psychiatry24
Pediatric Medicine17
Cardiovascular Disease (Cardiology)15
Clinical Social Worker15
Emergency Medicine12
Obstetrics/Gynecology12
22 other specialties82

Nearest to this location (20)

See all 244
Nashwa Abdulsalam
Cardiovascular Disease (Cardiology)
NPI 1295142750
200 NE MOTHER JOSEPH PL STE 400
Vancouver, WA 98664
(360) 514-4444
✔ PECOS✔ Accepts MedicareSame address
Jonathan Allen, M.D.
Cardiovascular Disease (Cardiology)
NPI 1922186402
200 NE MOTHER JOSEPH PL STE 400
Vancouver, WA 98664
(360) 514-4444
✔ PECOS✔ Accepts MedicareSame address
Julie Kilzer, APRN
Nurse Practitioner
NPI 1588123442
200 NE MOTHER JOSEPH PL STE 330
Vancouver, WA 98664
(360) 514-2990
✔ PECOS✔ Accepts MedicareSame address
Vishnu Priya Mallipeddi, M.B.B.S
Cardiovascular Disease (Cardiology)
NPI 1386175008
200 NE MOTHER JOSEPH PL STE 400
Vancouver, WA 98664
(360) 514-4444
✔ PECOS✔ Accepts MedicareSame address
Dina Mazur, NURSE PRACTITIONER
Nurse Practitioner
NPI 1154912897
200 NE MOTHER JOSEPH PL STE 400
Vancouver, WA 98664
(360) 514-4444
✔ PECOS✔ Accepts MedicareSame address
Madhan Nellaiyappan, M.D.
Cardiac Electrophysiology
NPI 1932515103
200 NE MOTHER JOSEPH PL STE 400
Vancouver, WA 98664
(360) 514-4444
✔ PECOS✔ Accepts MedicareSame address
James Reiss, MD
Cardiac Surgery
NPI 1285683482
200 NE MOTHER JOSEPH PL SUITE 400
Vancouver, WA 98664
(360) 256-2640
✔ PECOS✔ Accepts MedicareSame address
Bing Yue, M.D.
Cardiovascular Disease (Cardiology)
NPI 1851743611
200 NE MOTHER JOSEPH PL STE 400
Vancouver, WA 98664
(360) 514-4444
✔ PECOS✔ Accepts MedicareSame address
Shenjing Li, MD
Interventional Cardiology
NPI 1568892586
200 NE MOTHER JOSEPH PL STE 400
Vancouver, WA 98664
(360) 514-4444
✔ PECOS✔ Accepts MedicareSame address
Yamac Gungor, MD
Cardiovascular Disease (Cardiology)
NPI 1598713810
200 NE MOTHER JOSEPH PL SUITE 400
Vancouver, WA 98664
(360) 256-2640
✔ PECOS✔ Accepts MedicareSame address
Malgorzata Kozinski, MD
Interventional Cardiology
NPI 1922058676
200 NE MOTHER JOSEPH PL SUITE 400
Vancouver, WA 98664
(360) 256-5640
✔ PECOS✔ Accepts MedicareSame address
Janell Riepma, RN
Nurse Practitioner
NPI 1922302942
200 NE MOTHER JOSEPH PL SUITE 400
Vancouver, WA 98664
(360) 514-4444
✔ PECOS✔ Accepts MedicareSame address
Martin Bomalaski, M.D.
Physical Medicine and Rehabilitation
NPI 1508109349
200 NE MOTHER JOSEPH PL STE 100
Vancouver, WA 98664
(360) 514-3142
✔ PECOS✔ Accepts MedicareSame address
Robert Djergaian, M.D.
Physical Medicine and Rehabilitation
NPI 1912081373
200 NE MOTHER JOSEPH PL STE 100
Vancouver, WA 98664
(360) 514-3142
✔ PECOSSame address
Joshua Grant, D.O.
Cardiovascular Disease (Cardiology)
NPI 1598051252
200 NE MOTHER JOSEPH PL STE 400
Vancouver, WA 98664
(360) 514-4444
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Stageberg, MD
Emergency Medicine
NPI 1194764266
600 NE 92ND AVE
Vancouver, WA 98664
(360) 514-2142
✔ PECOS✔ Accepts MedicareSame address
Jesse Hostetter Kropf
Emergency Medicine
NPI 1093957482
600 NE 92ND AVE
Vancouver, WA 98664
(360) 514-2142
✔ PECOS✔ Accepts MedicareSame address
Marty Bell, MD
Emergency Medicine
NPI 1417999517
600 NE 92ND AVE
Vancouver, WA 98664
(360) 514-2142
✔ PECOSSame address
Erik Denninghoff, MD
Emergency Medicine
NPI 1457507097
600 NE 92ND AVE
Vancouver, WA 98664
(360) 514-2142
✔ PECOSSame address
Eric Ferraris, MD
Emergency Medicine
NPI 1710278023
600 NE 92ND AVE EMERGENCY DEPARTMENT
Vancouver, WA 98664
(360) 514-2142
✔ PECOSSame address
See all 244 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0637794

Peacehealth SW Heart & Vascular Center Cardiology · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0637794
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKaci E. Caldwell
Laboratory Phone(360) 514-4444
Laboratory LocationPeacehealth SW Heart & Vascular Center Cardiology200 NE Mother Joseph Pl, Suite 400, Vancouver, WA 98664
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 50D0684007

Peacehealth Southwest Washington Medical Center · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D0684007
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDr. David M. Tretheway
Laboratory Phone(360) 514-2074
Laboratory LocationPeacehealth Southwest Washington Medical Center400 NE Mother Joseph Pl, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D1099504

Peacehealth Southwest Medical Center Laboratory · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D1099504
Laboratory TypeHospital
Certificate Effective DateDecember 23, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid Tretheway
Laboratory Phone(360) 514-1655
Laboratory LocationPeacehealth Southwest Medical Center Laboratory400 NE Mother Joseph Pl, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 50D2279896

Peacehealth Southwest Physical Medicine & Rehab · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2279896
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKatie Trippet
Laboratory Phone(360) 514-3142
Laboratory LocationPeacehealth Southwest Physical Medicine & Rehab200 NE Mother Joseph Pl Ste 100, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2302769

Peacehealth Medical Group - Urology · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2302769
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKatie Trippet
Laboratory Phone(360) 729-8580
Laboratory LocationPeacehealth Medical Group - Urology8614 E Mill Plain Blvd Ste 201, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Peacehealth's NPI number?

The NPI number for Peacehealth is 1003194911. It was assigned to this organization in the NPPES registry on July 26, 2011. The provider is doing business as PeaceHealth SW Heart & Vascular Center.

Where is Peacehealth located?

Peacehealth is located at 200 NE Mother Joseph Pl Ste 400, Vancouver, WA 98664. The listed phone number is (360) 256-2640.

What is Peacehealth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Peacehealth enrolled in Medicare?

Yes. Peacehealth is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peacehealth?

According to the CMS Revalidation Reassignment List (October 2026 release), 244 clinicians in 30 Medicare specialties reassign their Medicare billing to Peacehealth. A 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 the clinician's services. The largest specialties are Family Practice (39), Nurse Practitioner (28) and Psychiatry (24). Of these, 24 practice at this address and 162 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peacehealth hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Peacehealth accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Peacehealth 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 Peacehealth was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.