WESTERN WASHINGTON MEDICAL GROUP, INC PS
NPI 1033853429
Nurse Practitioner - Primary Care in Marysville, WA

Active since April 22, 2022CLIA 50D2234136 · Waiver
1630 GROVE ST, MARYSVILLE, WA 98270(360) 653-3500 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Western Washington Medical Group, Inc Ps NPPES

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

WESTERN WASHINGTON MEDICAL GROUP, INC PS (NPI 1033853429) is a healthcare organization registered as a primary care in Marysville, Washington and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Amelia Edens, Director Of Patient Financial Svcs, as its authorized official.

NPPES Registry Identity

NPI1033853429
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP, INC PS
Location Address1630 GROVE STMarysville, WA 98270-4302
Mailing Address1728 W Marine View Dr Ste 110Everett, WA 98201-2094 · (425) 259-4041
Organization SubpartNo
Authorized OfficialAmelia EdensDirector Of Patient Financial Svcs · (425) 740-4142
Enumeration DateApril 22, 2022
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
NPI 1033853429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1630 GROVE ST, Marysville, WA 98270

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

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 50D2234136

Western Washington Medical Group · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2234136
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid Russian
Laboratory Phone(425) 263-8980
Laboratory LocationWestern Washington Medical Group3822 Colby Ave Ste 100, Everett, WA 98201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1630 GROVE ST
MARYSVILLE, WA 98270
Nurse Practitioner (Family)
1630 GROVE ST
MARYSVILLE, WA 98270
Nurse Practitioner (Family)
1630 GROVE ST
MARYSVILLE, WA 98270
Nurse Practitioner (Family)
1630 GROVE ST
MARYSVILLE, WA 98270
Physician Assistant
1630 GROVE ST
MARYSVILLE, WA 98270
Nurse Practitioner (Family)
1630 GROVE ST
MARYSVILLE, WA 98270

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 Western Washington Medical Group, Inc Ps's NPI number?

The NPI number for Western Washington Medical Group, Inc Ps is 1033853429. It was assigned to this organization in the NPPES registry on April 22, 2022.

Where is Western Washington Medical Group, Inc Ps located?

Western Washington Medical Group, Inc Ps is located at 1630 Grove St, Marysville, WA 98270. The listed phone number is (360) 653-3500.

What is Western Washington Medical Group, Inc Ps's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Western Washington Medical Group, Inc Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2234136) 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 Western Washington Medical Group, Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Western Washington Medical Group, Inc Ps 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 Western Washington Medical Group, Inc Ps was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.