MANETTE CLINIC A PROFESSIONAL SERVICE CORPORATION
NPI 1013383215
Clinic/Center in Bremerton, WA

Active since August 11, 2015
1100 WHEATON WAY, SUITE F AND G, BREMERTON, WA 98310(360) 621-2696(844) 602-4646 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2021, Dec 17, 2015 (2 updates tracked since 2015).

About Manette Clinic A Professional Service Corporation NPPES

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

MANETTE CLINIC A PROFESSIONAL SERVICE CORPORATION (NPI 1013383215) is a healthcare organization registered as a clinic/center in Bremerton, Washington and active in the NPI registry since August 2015. The organization maintains a secondary practice location in Poulsbo and lists Tanya Spoon, Owner, as its authorized official.

NPPES Registry Identity

NPI1013383215
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMANETTE CLINIC A PROFESSIONAL SERVICE CORPORATION
Location Address1100 WHEATON WAY, SUITE F AND GBremerton, WA 98310-4459
Mailing AddressPo Box 1266Bremerton, WA 98337-0507 · (360) 621-2696
Fax(844) 602-4646
Organization SubpartNo
Authorized OfficialTanya SpoonOwner · (360) 621-2696
Enumeration DateAugust 11, 2015
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
✔ NPI 1013383215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · AP30007455
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1100 WHEATON WAY, Bremerton, WA 98310

Secondary Practice Location 1

Location 119500 10th Ave NE Ste 100Poulsbo, WA 98370-6331 · Phone (360) 621-2696 · Fax (844) 602-4646

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manette Clinic A Professional Service Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Manette Clinic A Professional Service Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1952903510
1100 WHEATON WAY STE F
Bremerton, WA 98310
(360) 621-2696
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356427918
1100 WHEATON WAY SUITE F AND G
Bremerton, WA 98310
(360) 621-2696
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649939083
5788 GATEWAY LN NE
Bremerton, WA 98311
(360) 626-3220
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1528446705
1 BOONE RD
Bremerton, WA 98312
(603) 475-4119
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1508686171
1805 SE SALMONBERRY RD
Port Orchard, WA 98366
(360) 509-7655
✔ PECOS✔ Accepts Medicare4.1 mi
Internal Medicine
NPI 1134199961
2011 NW MYHRE PL
Silverdale, WA 98383
(360) 830-1600
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1356407084
550 17TH AVE STE 500
Seattle, WA 98122
(206) 320-2800
✔ PECOS✔ Accepts Medicare15 mi

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

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 Manette Clinic A Professional Service Corporation's NPI number?

The NPI number for Manette Clinic A Professional Service Corporation is 1013383215. It was assigned to this organization in the NPPES registry on August 11, 2015.

Where is Manette Clinic A Professional Service Corporation located?

Manette Clinic A Professional Service Corporation is located at 1100 Wheaton Way Suite F And G, Bremerton, WA 98310. The listed phone number is (360) 621-2696.

What is Manette Clinic A Professional Service Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Manette Clinic A Professional Service Corporation enrolled in Medicare?

Yes. Manette Clinic A Professional Service Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manette Clinic A Professional Service Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Manette Clinic A Professional Service Corporation. 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 Nurse Practitioner (5), Family Practice (1) and Internal Medicine (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Manette Clinic A Professional Service Corporation was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.