PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1063663458
Family Medicine in Marysville, WA
About Providence Health & Services - Washington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1063663458), doing business as Pmg Nw Wa Marysville Clinic, is a healthcare organization registered as a family medicine in Marysville, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Group Practice 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)
Providence Health & Services - Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
702Medicare enrollment records show 702 clinicians reassign Medicare billing to Providence Health & Services - Washington, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 266 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 702Marysville, WA 98271
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 1063663458. It was assigned to this organization in the NPPES registry on October 4, 2008. The provider is doing business as PMG NW WA Marysville Clinic.
Where is Providence Health & Services - Washington located?
Providence Health & Services - Washington is located at 11603 State Ave Suite G, Marysville, WA 98271. The listed phone number is (360) 658-6800.
What is Providence Health & Services - Washington's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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), 702 clinicians in 49 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 Nurse Practitioner (108), Internal Medicine (90) and Family Practice (63). Of these, 4 practice at this address and 266 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 Ambetter Health, 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 12, 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.
# Providence Health & Services - Washington · NPI 1063663458
Family Medicine organization in Marysville, Washington. Organization record, active in the CMS NPPES registry since October 4, 2008.
## Identity
- **NPI:** 1063663458 (Entity type: Organization)
- **Enumerated:** October 4, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** PMG NW WA Marysville Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 11603 STATE AVE, SUITE G, Marysville, WA 98271-8465
- **Phone:** (360) 658-6800 · **Fax:** (360) 658-6819
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 702 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (108), Internal Medicine (90), Family Practice (63); 4 practice at this address and 266 within 10 miles; [full list](https://npiprofile.com/npi/1063663458/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063663458) · Data from the CMS NPPES public registry.