PROVIDENCE HEALTH & SERVICES-WA
NPI 1033360144
Psychiatry & Neurology - Addiction Medicine in Everett, WA

Q: What is Providence Health & Services-Wa's NPI number?

The NPI number for Providence Health & Services-Wa is 1033360144. It was assigned to this organization in the NPPES registry on October 7, 2008.

Q: What is Providence Health & Services-Wa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Active since October 07, 2008

1321 COLBY AVE, EVERETT, WA 98201(425) 261-3968(425) 261-3967 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2025, Feb 25, 2025, Jan 11, 2018 (3 updates tracked since 2018).

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About Providence Health & Services-wa NPPES

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

PROVIDENCE HEALTH & SERVICES-WA (NPI 1033360144) is a healthcare organization registered as an addiction medicine in Everett, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Assist Secretary-enrollment, as its authorized official.

NPPES Registry Identity

NPI1033360144

Entity TypeOrganization

Primary Taxonomy2084A0401X

Legal Business NamePROVIDENCE HEALTH & SERVICES-WA

Location Address1321 COLBY AVEEverett, WA 98201-1665

Mailing AddressPo Box 31001-4110Pasadena, CA 91110-4110

Phone(425) 261-3968

Fax(425) 261-3967

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssist Secretary-enrollment · (425) 358-9786

Enumeration DateOctober 7, 2008

Last NPPES UpdateMay 13, 20253 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1033360144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

1321 COLBY AVE, Everett, WA 98201

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

Clinicians Billing Medicare Through This Organization

135

Medicare enrollment records show 135 clinicians reassign Medicare billing to Providence Health & Services-Wa, which bills Medicare for the services they deliver. Of these, 49 practice at this address and 75 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner49

Internal Medicine41

Psychiatry8

Family Practice6

Neurology5

Addiction Medicine4

Nephrology3

Occupational Therapist in Private Practice3

11 other specialties16

Nearest to this location (20)

See all 135

Russell Beckley, MD

Internal Medicine

NPI 1255425799

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Shanshan Bond, M.D.

Internal Medicine

NPI 1861704629

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Jacob Brent, M.D.

Psychiatry

NPI 1508354887

1321 COLBY AVE
Everett, WA 98201

(425) 258-7390

✔ PECOSSame address

Alice Brownstein

Internal Medicine

NPI 1295811040

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Wei-Chun Chang, M.D.

Internal Medicine

NPI 1104112432

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Angela Chen, MD

Internal Medicine

NPI 1659445609

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Raymond Cheng, MD

Internal Medicine

NPI 1952469777

1321 COLBY AVE MEDICAL STAFF OFFICE
Everett, WA 98201

(425) 261-4076

✔ PECOSSame address

Robert Dabkowski, M.D.

Internal Medicine

NPI 1588955801

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Thoa Fenton, ARNP

Nurse Practitioner

NPI 1326477324

1321 COLBY AVE MEDICAL STAFF OFFICE
Everett, WA 98201

(425) 261-2000

✔ PECOSSame address

Federico Fenton Portillo, M.D.

Internal Medicine

NPI 1891136842

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Jenney Gannon, BSN,RN,INTERN

Nurse Practitioner

NPI 1710759550

1321 COLBY AVE
Everett, WA 98201

(425) 258-7390

✔ PECOS✔ Accepts MedicareSame address

Patricia Garrison, FNP

Nurse Practitioner

NPI 1730489972

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Angela Muriithi, MBCHB

Nephrology

NPI 1770811838

1321 COLBY AVE MEDICAL STAFF OFFICE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Angela Rideout, A.R.N.P.

Nurse Practitioner

NPI 1750423554

1321 COLBY AVE MEDICAL STAFF OFFICE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Ben Staudinger, MD

Critical Care (Intensivists)

NPI 1942300405

1321 COLBY AVE MEDICAL STAFF OFFICE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Kathleen Wroblewski, MD

Nephrology

NPI 1215033287

1321 COLBY AVE MEDICAL STAFF OFFICE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

James Jordan, M.D.

Neurology

NPI 1417156993

1321 COLBY AVE FL 3
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Shona Lowell, ARNP

Nurse Practitioner

NPI 1598710840

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Wendy Mcgoodwin, MD

Hospice/Palliative Care

NPI 1285743641

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

Julie Quandt, ARNP

Nurse Practitioner

NPI 1144673153

1321 COLBY AVE
Everett, WA 98201

(425) 261-2000

✔ PECOS✔ Accepts MedicareSame address

See all 135 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-Wa's NPI number?

The NPI number for Providence Health & Services-Wa is 1033360144. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Providence Health & Services-Wa located?

Providence Health & Services-Wa is located at 1321 Colby Ave, Everett, WA 98201. The listed phone number is (425) 261-3968.

What is Providence Health & Services-Wa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Providence Health & Services-Wa enrolled in Medicare?

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

How many clinicians bill Medicare through Providence Health & Services-Wa?

According to the CMS Revalidation Reassignment List (October 2026 release), 135 clinicians in 19 Medicare specialties reassign their Medicare billing to Providence Health & Services-Wa. 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 (49), Internal Medicine (41) and Psychiatry (8). Of these, 49 practice at this address and 75 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services-Wa accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services-Wa 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-Wa 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.