YELM FAMILY MEDICINE, PLLC
NPI 1053364950
Family Medicine in Yelm, WA

Active since May 19, 2006CLIA 50D0637291 · Waiver
201 TAHOMA BLVD, SUITE 102, YELM, WA 98597(360) 458-7761(360) 458-8316 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Yelm Family Medicine, Pllc NPPES

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

YELM FAMILY MEDICINE, PLLC (NPI 1053364950) is a healthcare organization registered as a family medicine in Yelm, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Brenda E Longmire, Manager, as its authorized official.

NPPES Registry Identity

NPI1053364950
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYELM FAMILY MEDICINE, PLLC
Location Address201 TAHOMA BLVD, SUITE 102Yelm, WA 98597-7735
Mailing Address201 Tahoma Blvd Se, Suite 102Yelm, WA 98597 · (360) 458-7761 · Fax (360) 458-6612
Fax(360) 458-8316
Organization SubpartNo
Authorized OfficialBrenda E LongmireManager · (360) 458-7761
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1053364950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 TAHOMA BLVD, Yelm, WA 98597

Other Identifiers 2

Medicaid7068828WA
Other62140WA · L&i

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)

Yelm Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Yelm Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice12
Nurse Practitioner1

Clinicians, nearest first (13)

Family Practice
NPI 1811492226
201 TAHOMA BLVD
Yelm, WA 98597
(360) 458-7761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1144450149
201 TAHOMA BLVD UNIT 102
Yelm, WA 98597
(360) 458-7761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1568919975
201 TAHOMA BLVD UNIT 102
Yelm, WA 98597
(360) 458-7761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1417694522
201 TAHOMA BLVD UNIT 102
Yelm, WA 98597
(360) 458-7761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609829910
201 TAHOMA BLVD SUITE 102
Yelm, WA 98597
(360) 458-7761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932226818
201 TAHOMA BLVD SUITE 102
Yelm, WA 98597
(360) 458-7761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245283472
201 TAHOMA BLVD SUITE 102
Yelm, WA 98597
(360) 458-7761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821402298
201 TAHOMA BLVD UNIT 102
Yelm, WA 98597
(360) 458-7761
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609618412
201 TAHOMA BLVD UNIT 102
Yelm, WA 98597
(360) 458-7761
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790373413
525 LILLY RD NE
Olympia, WA 98506
(360) 493-7525
✔ PECOS13 mi
Family Practice
NPI 1588775811
939 MOUNTAIN VIEW DR SUITE 100
Shelton, WA 98584
(360) 426-2653
✔ PECOS✔ Accepts Medicare30 mi
Family Practice
NPI 1124588546
1701 18TH AVE S
Seattle, WA 98144
(253) 833-7444
✔ PECOS✔ Accepts Medicare47 mi
Family Practice
NPI 1922238344
820 N CHELAN AVE
Wenatchee, WA 98801
(509) 663-8711
✔ PECOS✔ Accepts Medicare113 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 50D0637291

Yelm Family Medicine · Yelm, WA
Active · expires Apr 4, 2028
CLIA Number50D0637291
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTamara Bunn
Laboratory Phone(360) 458-7761
Laboratory LocationYelm Family Medicine201 Tahoma Blvd Unit 102, Yelm, WA 98597
CLIA data matches this NPI record on: Address 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 Yelm Family Medicine, PLLC's NPI number?

The NPI number for Yelm Family Medicine, PLLC is 1053364950. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Yelm Family Medicine, PLLC located?

Yelm Family Medicine, PLLC is located at 201 Tahoma Blvd Suite 102, Yelm, WA 98597. The listed phone number is (360) 458-7761.

What is Yelm Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Yelm Family Medicine, PLLC enrolled in Medicare?

Yes. Yelm Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yelm Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Yelm Family Medicine, 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 Family Practice (12) and Nurse Practitioner (1). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Yelm Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0637291) 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 Yelm Family Medicine, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Yelm Family Medicine, 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 Yelm Family Medicine, PLLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.