NICHOLAS JOHN VAUDREUIL M.D.
NPI 1114332327
Orthopaedic Surgery - Sports Medicine in Everett, WA

Q: What is Nicholas Vaudreuil's NPI number?

The NPI number for Nicholas Vaudreuil is 1114332327. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Q: What is Nicholas Vaudreuil's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment

1100 PACIFIC AVE STE 300, EVERETT, WA 98201(425) 339-2433(425) 339-8273 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Jul 29, 2021, Jul 21, 2020 and 1 more (4 updates tracked since 2018).

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About Nicholas John Vaudreuil M.d. NPPES

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

NICHOLAS JOHN VAUDREUIL M.D. (NPI 1114332327) is an individual sports medicine provider in Everett, Washington, licensed in Washington (61154921) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of University Of Washington School Of Medicine (2014).

NPPES Registry Identity

NPI1114332327

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameNICHOLAS JOHN VAUDREUILCredential: M.D.

Location Address1100 PACIFIC AVE STE 300Everett, WA 98201-4261

Mailing Address1100 Pacific Ave Ste 300Everett, WA 98201-4261 · (425) 339-2433 · Fax (425) 339-8273

Phone(425) 339-2433

Fax(425) 339-8273

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2014

Enumeration DateJune 25, 2014

Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1114332327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in WA · 61154921

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD61154921 (WA)

1100 PACIFIC AVE STE 300, Everett, WA 98201

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Other Identifiers 1

Medicaid2182118WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas John Vaudreuil M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234462789

PECOS Enrollment IDI20210812003737

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Vaudreuil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Proliance Surgeons, Inc., P.S.

Same address

Orthopaedic Surgery

1100 PACIFIC AVE STE 300
Everett, WA 98201

Reassigned Medicare billing, Washington enrollment
589 clinicians in this Medicare group

NPI 1750320701 (425) 339-2433

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services55 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

70 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

24 services17 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

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

LAURA J. SKANSE PA-C

Physician Assistant (Surgical)