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PACIFIC NORTHWEST PRIMARY CARE
NPI 1023431095
Nurse Practitioner - Family in Tacoma, WA

Active since January 28, 2014CLIA 50D2096326 · Waiver
1818 S UNION AVE, SUITE 2A, TACOMA, WA 98405(253) 473-7637(253) 671-8472 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pacific Northwest Primary Care NPPES

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

PACIFIC NORTHWEST PRIMARY CARE (NPI 1023431095) is a healthcare organization registered as a family in Tacoma, Washington and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Becky Blodgett, Np, as its authorized official.

NPPES Registry Identity

NPI1023431095
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRIDEAUX-BLODGETT LLC
Location Address1818 S UNION AVE, SUITE 2ATacoma, WA 98405-1953
Mailing Address1818 S Union Ave, Suite 2aTacoma, WA 98405-1953 · (253) 473-7637 · Fax (253) 671-8472
Phone(253) 473-7637
Fax(253) 671-8472
Organization SubpartNo
Authorized OfficialBecky BlodgettNp · (253) 473-7637
Enumeration DateJanuary 28, 2014
✔ NPI 1023431095 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
License✔ Licensed in WA · AP30003968
1818 S UNION AVE, Tacoma, WA 98405
Open in Google Maps ↗

Other Names 1

Doing Business AsPacific Northwest Primary Care

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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 Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Northwest Primary Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Becky Prideaux-Blodgett, ARNP
Nurse Practitioner
NPI 1942274204
7808 PACIFIC AVE STE 3
Tacoma, WA 98408
(253) 503-6178
✔ PECOS✔ Accepts Medicare4.6 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

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 50D2096326

Prideaux - Blodgett LLC · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2096326
Laboratory TypeArnp
Certificate Effective DateMay 20, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBecky Blodgett
Laboratory Phone(253) 473-7637
Laboratory LocationPrideaux - Blodgett LLC7808 Pacific Ave Ste 3, Tacoma, WA 98408
CLIA data matches this NPI record on: Name 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 Prideaux-Blodgett LLC's NPI number?

The NPI number for Prideaux-Blodgett LLC is 1023431095. It was assigned to this organization in the NPPES registry on January 28, 2014. The provider is doing business as Pacific Northwest Primary Care.

Where is Prideaux-Blodgett LLC located?

Prideaux-Blodgett LLC is located at 1818 S Union Ave Suite 2A, Tacoma, WA 98405. The listed phone number is (253) 473-7637.

What is Prideaux-Blodgett LLC's specialty?

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

Is Prideaux-Blodgett LLC enrolled in Medicare?

Yes. Prideaux-Blodgett LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prideaux-Blodgett LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Prideaux-Blodgett LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prideaux-Blodgett LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2096326) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prideaux-Blodgett LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Prideaux-Blodgett LLC 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 Prideaux-Blodgett LLC was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.