PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1073744850
Clinic/Center - Rehabilitation, Substance Use Disorder in Shelton, 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 1073744850), doing business as Providence St Peter Hospital, is a healthcare organization registered as a rehabilitation, substance use disorder in Shelton, Washington and active in the NPI registry since July 2009. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
184Medicare enrollment records show 184 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 29
Nearest to this location (20)
See all 184Olympia, WA 98506
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 1073744850. It was assigned to this organization in the NPPES registry on July 28, 2009. The provider is doing business as Providence St Peter Hospital.
Where is Providence Health & Services Washington located?
Providence Health & Services Washington is located at 2505 Olympic Hwy N. Ste 140, Shelton, WA 98584. The listed phone number is (360) 432-8692.
What is Providence Health & Services Washington's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
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), 184 clinicians in 29 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 Internal Medicine (30), Nurse Practitioner (21) and Family Practice (12). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Providence Health & Services Washington was last updated on May 15, 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 1073744850
Rehabilitation, Substance Use Disorder organization in Shelton, Washington. Organization record, active in the CMS NPPES registry since July 28, 2009.
## Identity
- **NPI:** 1073744850 (Entity type: Organization)
- **Enumerated:** July 28, 2009
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** Providence St Peter Hospital (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECREATRY FOR ENROLLMENT
## Practice location
- **Address:** 2505 OLYMPIC HWY N., STE 140, Shelton, WA 98584-2978
- **Phone:** (360) 432-8692 · **Fax:** (360) 432-9902
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 184 clinicians in 29 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (30), Nurse Practitioner (21), Family Practice (12); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1073744850/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073744850) · Data from the CMS NPPES public registry.