WALLA WALLA CLINIC MILTON-FREEWATER
NPI 1063521862
Clinic/Center in Milton Freewater, OR
About Walla Walla Clinic Milton-freewater NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLA WALLA CLINIC MILTON-FREEWATER (NPI 1063521862) is a healthcare organization registered as a clinic/center in Milton Freewater, Oregon and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Kevin Michelson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Walla Walla Clinic Milton-freewater is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Walla Walla Clinic Milton-Freewater, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (9)
Tualatin, OR 97062
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 2
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 50D0640256
Walla Walla Clinic · Walla Walla, WACertificate of Compliance 50D2180996
Walla Walla Clinic Dermatology · Walla Walla, WAFrequently 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 Walla Walla Clinic, Inc.'s NPI number?
The NPI number for Walla Walla Clinic, Inc. is 1063521862. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Walla Walla Clinic Milton-Freewater.
Where is Walla Walla Clinic, Inc. located?
Walla Walla Clinic, Inc. is located at 10 NE 5th Ave, Milton Freewater, OR 97862. The listed phone number is (541) 938-3314.
What is Walla Walla Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Walla Walla Clinic, Inc. enrolled in Medicare?
Yes. Walla Walla Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Walla Walla Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Walla Walla Clinic, Inc.. 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 Walla Walla Clinic, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Walla Walla Clinic, Inc. accept?
Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Walla Walla Clinic, Inc. 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 Walla Walla Clinic, Inc. was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Walla Walla Clinic Milton-Freewater · NPI 1063521862
Clinic/Center organization in Milton Freewater, Oregon. Organization record, active in the CMS NPPES registry since August 29, 2006.
## Identity
- **NPI:** 1063521862 (Entity type: Organization)
- **Enumerated:** August 29, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Walla Walla Clinic, Inc.
- **Organization subpart:** Yes (part of Walla Walla Clinic, Inc.)
- **Authorized official:** Kevin Michelson, CEO
## Practice location
- **Address:** 10 NE 5TH AVE, Milton Freewater, OR 97862-1702
- **Phone:** (541) 938-3314 · **Fax:** (541) 938-4449
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2017
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063521862) · Data from the CMS NPPES public registry.