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PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1023550050
Clinic/Center - Mental Health (Including Community Mental Health Center) in Olympia, WA

Active since November 08, 2016
225 STATE AVE NE, OLYMPIA, WA 98501(360) 486-6400 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2025, Mar 7, 2025, Feb 15, 2022 and 2 more (5 updates tracked since 2016).

About Providence Health & Services Washington NPPES

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

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1023550050), doing business as Providence Community Care Center, is a healthcare organization registered as a mental health (including community mental health center) in Olympia, Washington and active in the NPI registry since November 2016. The organization lists Donald Wayne Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1023550050
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address225 STATE AVE NEOlympia, WA 98501-6951
Mailing AddressPo Box 31001-4110Pasadena, CA 91110-4110 · (360) 486-6400
Phone(360) 486-6400
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary For Enrollment · (425) 358-9786
Enumeration DateNovember 8, 2016
Last NPPES UpdateMay 13, 20255 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1023550050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 313007977 (WA)
Also ListedPsychologistTaxonomy 103T00000X · License 313007977 (WA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 313007977 (WA)
Also ListedSocial WorkerTaxonomy 104100000X · License 313007977 (WA)
225 STATE AVE NE, Olympia, WA 98501
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Other Names 1

Doing Business AsProvidence Community Care Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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)

Providence Health & Services Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

184

Medicare enrollment records show 184 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 95 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Internal Medicine30
Nurse Practitioner21
Family Practice12
Obstetrics/Gynecology11
Pulmonary Disease10
Cardiovascular Disease (Cardiology)9
Hospice/Palliative Care9
Urology9
21 other specialties73

Nearest to this location (20)

See all 184
Melissa Gallardo, NP
Nurse Practitioner
NPI 1578039749
225 STATE AVE NE
Olympia, WA 98501
(360) 486-6400
✔ PECOS✔ Accepts MedicareSame address
Kristen Pace, ARNP
Nurse Practitioner
NPI 1013435882
2100 CATON WAY SW
Olympia, WA 98502
(360) 866-7406
✔ PECOS✔ Accepts Medicare1.6 mi
Ritawari Sharangpani, MD
Psychiatry
NPI 1154473015
2617 12TH CT SW STE B6
Olympia, WA 98502
(360) 705-3690
✔ PECOS✔ Accepts Medicare1.8 mi
Jairo Mendoza Briceno, M.D.
Family Practice
NPI 1982227062
1620 COOPER POINT RD SW
Olympia, WA 98502
(360) 486-6710
✔ PECOS✔ Accepts Medicare1.8 mi
Margo Newell Eggert, MD
Physical Medicine and Rehabilitation
NPI 1710062740
410 PROVIDENCE LN NE BUILDING 2
Olympia, WA 98506
(360) 493-4500
✔ PECOS2.4 mi
Patrick Murray, M.D.
Urology
NPI 1548606346
149 LILLY RD NE
Olympia, WA 98506
(360) 486-6772
✔ PECOS✔ Accepts Medicare2.5 mi
Mordechai Groner, M.D.
Infectious Disease
NPI 1427347764
3525 ENSIGN RD NE STE F
Olympia, WA 98506
(360) 493-4001
✔ PECOS✔ Accepts Medicare2.5 mi
Nina Andersen, DO
Hospice/Palliative Care
NPI 1912535576
413 LILLY RD NE
Olympia, WA 98506
(360) 486-6402
✔ PECOS✔ Accepts Medicare2.5 mi
Sundar Cherukuri, DO
Internal Medicine
NPI 1427511849
413 LILLY RD NE
Olympia, WA 98506
(360) 491-9480
✔ PECOS✔ Accepts Medicare2.5 mi
Khaled Darwesh, MD
Hospitalist
NPI 1265963805
413 LILLY RD NE
Olympia, WA 98506
(360) 493-4083
✔ PECOS✔ Accepts Medicare2.5 mi
Joyce Gilbert, MD
Pediatric Medicine
NPI 1174515993
413 LILLY RD NE
Olympia, WA 98506
(360) 493-7469
✔ PECOS2.5 mi
Thomas Curry, MD
Vascular Surgery
NPI 1811974652
128 LILLY RD NE STE 205
Olympia, WA 98506
(360) 493-7444
✔ PECOS✔ Accepts Medicare2.6 mi
Jennifer Abelson, MD
Cardiac Surgery
NPI 1497989057
525 LILLY RD NE STE 200
Olympia, WA 98506
(360) 493-4510
✔ PECOS✔ Accepts Medicare2.6 mi
Eve Cunningham, MD
Obstetrics/Gynecology
NPI 1477601409
525 LILLY RD NE
Olympia, WA 98506
(360) 493-7230
✔ PECOS✔ Accepts Medicare2.6 mi
Leo Kesting, M.D.
Neurology
NPI 1679531230
525 LILLY RD NE
Olympia, WA 98506
(360) 413-8550
✔ PECOS✔ Accepts Medicare2.6 mi
Amanda Clauson, CNM, ARNP
Certified Nurse Midwife (CNM)
NPI 1013432202
615 LILLY RD NE STE 200
Olympia, WA 98506
(360) 413-8413
✔ PECOS✔ Accepts Medicare2.7 mi
Haroon Yousaf, MD
Interventional Cardiology
NPI 1871731364
3620 ENSIGN RD NE STE B
Olympia, WA 98506
(360) 884-0052
✔ PECOS✔ Accepts Medicare2.7 mi
William Brennan, MD
Cardiovascular Disease (Cardiology)
NPI 1487655858
500 LILLY RD NE STE 100
Olympia, WA 98506
(360) 413-8525
✔ PECOS2.7 mi
Jeffrey Christenson, MD
Pulmonary Disease
NPI 1932162872
500 LILLY RD NE
Olympia, WA 98506
(360) 413-8272
✔ PECOS2.7 mi
David Nesheim, MD
Critical Care (Intensivists)
NPI 1205253481
500 LILLY RD NE STE 204
Olympia, WA 98506
(360) 413-8272
✔ PECOS✔ Accepts Medicare2.7 mi
See all 184 clinicians

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 Providence Health & Services Washington's NPI number?

The NPI number for Providence Health & Services Washington is 1023550050. It was assigned to this organization in the NPPES registry on November 8, 2016. The provider is doing business as Providence Community Care Center.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 225 State Ave NE, Olympia, WA 98501. The listed phone number is (360) 486-6400.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Providence Health & Services Washington enrolled in Medicare?

Yes. Providence Health & Services Washington is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Washington?

According to the CMS Revalidation Reassignment List (October 2026 release), 184 clinicians in 29 Medicare specialties reassign their Medicare billing to Providence Health & Services Washington. 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 Internal Medicine (30), Nurse Practitioner (21) and Family Practice (12). Of these, 1 practice at this address and 95 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services Washington 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 Providence Health & Services Washington was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.