PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC
NPI 1023400041
Urology in Bellingham, WA

Active since February 27, 2015CLIA Certified · 2 labs
3232 SQUALICUM PKWY, BELLINGHAM, WA 98225(360) 733-7687(360) 734-7687 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pacific Northwest Urology Specialists, Pllc NPPES

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

PACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC (NPI 1023400041) is a healthcare organization registered as an urology in Bellingham, Washington and active in the NPI registry since February 2015. The organization holds 2 active CLIA laboratory certificates and lists Kelly J Casperson, Owner, as its authorized official.

NPPES Registry Identity

NPI1023400041
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePACIFIC NORTHWEST UROLOGY SPECIALISTS, PLLC
Location Address3232 SQUALICUM PKWYBellingham, WA 98225-1932
Mailing Address3232 Squalicum PkwyBellingham, WA 98225-1932 · (360) 733-7687 · Fax (360) 734-7687
Fax(360) 734-7687
Organization SubpartNo
Authorized OfficialKelly J CaspersonOwner · (360) 774-1077
Enumeration DateFebruary 27, 2015
Last NPPES UpdateMay 28, 2021
NPPES CertifiedMay 28, 2021
✔ NPI 1023400041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WA · 603472537
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3232 SQUALICUM PKWY, Bellingham, WA 98225

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Northwest Urology Specialists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Pacific Northwest Urology Specialists, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Urology
NPI 1386955870
3232 SQUALICUM PKWY
Bellingham, WA 98225
(360) 733-7687
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1053871582
3232 SQUALICUM PKWY
Bellingham, WA 98225
(360) 733-7687
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1477634046
3232 SQUALICUM PKWY
Bellingham, WA 98225
(360) 733-7687
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1134414477
4545 CORDATA PKWY SUITE 1A
Bellingham, WA 98226
(360) 733-7687
✔ PECOS✔ Accepts Medicare2.6 mi
Urology
NPI 1346700986
1101 MADISON ST STE 1400
Seattle, WA 98104
(206) 386-6266
✔ PECOS✔ Accepts Medicare81 mi
Nurse Practitioner
NPI 1205277415
1305 YORK AVE 4TH FLOOR
New York, NY 10021
(646) 962-5316
✔ PECOS✔ Accepts Medicare2,406 mi

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 2

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 Compliance 50D2097230

Pacific Northwest Urology Specialists PLLC · Bellingham, WA
Active · expires Apr 4, 2028
CLIA Number50D2097230
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDaniel Roeter
Laboratory Phone(360) 733-7687
Laboratory LocationPacific Northwest Urology Specialists PLLC3232 Squalicum Pkwy, Bellingham, WA 98225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 50D2133311

Pacific Northwest Urology Surgery Center · Bellingham, WA
Active · expires Apr 4, 2028
CLIA Number50D2133311
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 10, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKelly Casperson
Laboratory Phone(360) 733-7687
Laboratory LocationPacific Northwest Urology Surgery Center3232 Squalicum Pkwy, Bellingham, WA 98225
CLIA data matches this NPI record on: Address Phone
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 Pacific Northwest Urology Specialists, PLLC's NPI number?

The NPI number for Pacific Northwest Urology Specialists, PLLC is 1023400041. It was assigned to this organization in the NPPES registry on February 27, 2015.

Where is Pacific Northwest Urology Specialists, PLLC located?

Pacific Northwest Urology Specialists, PLLC is located at 3232 Squalicum Pkwy, Bellingham, WA 98225. The listed phone number is (360) 733-7687.

What is Pacific Northwest Urology Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Pacific Northwest Urology Specialists, PLLC enrolled in Medicare?

Yes. Pacific Northwest Urology Specialists, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Northwest Urology Specialists, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Pacific Northwest Urology Specialists, PLLC. 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 Urology (5) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pacific Northwest Urology Specialists, PLLC hold CLIA laboratory certificates?

Yes. 2 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 Pacific Northwest Urology Specialists, PLLC accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 17 other insurers list Pacific Northwest Urology Specialists, PLLC 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 Pacific Northwest Urology Specialists, PLLC was last updated on May 28, 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.