PROVIDENCE HEALTH & SERVICES- WASHINGTON
NPI 1124270715
General Practice in Everett, 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 1124270715), doing business as Pmg Nw Wa, is a healthcare organization registered as a general practice in Everett, 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 3
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation 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).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
788Medicare enrollment records show 788 clinicians reassign Medicare billing to Providence Health & Services- Washington, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 345 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 51
Nearest to this location (20)
See all 788Source: 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 1124270715. It was assigned to this organization in the NPPES registry on October 15, 2008. The provider is doing business as Pmg NW Wa and Providence Medical Group Northwest Washington.
Where is Providence Health & Services- Washington located?
Providence Health & Services- Washington is located at 900 Pacific Ave Ste 501, Everett, WA 98201. The listed phone number is (425) 258-7550.
What is Providence Health & Services- Washington's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Providence Health & Services- Washington enrolled in Medicare?
Yes. Providence Health & Services- Washington is registered in the Medicare PECOS enrollment system.
When is Providence Health & Services- Washington's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Providence Health & Services- Washington?
According to the CMS Revalidation Reassignment List (October 2026 release), 788 clinicians in 51 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 (109), Internal Medicine (102) and Neurology (88). Of these, 23 practice at this address and 345 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 February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 1124270715
General Practice organization in Everett, Washington. Organization record, active in the CMS NPPES registry since October 15, 2008.
## Identity
- **NPI:** 1124270715 (Entity type: Organization)
- **Enumerated:** October 15, 2008
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** PMG NW WA (Doing Business As); PROVIDENCE MEDICAL GROUP NORTHWEST WASHINGTON (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 900 PACIFIC AVE, STE 501, Everett, WA 98201-4168
- **Phone:** (425) 258-7550 · **Fax:** (425) 258-7450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 788 clinicians in 51 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (109), Internal Medicine (102), Neurology (88); 23 practice at this address and 345 within 10 miles; [full list](https://npiprofile.com/npi/1124270715/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124270715) · Data from the CMS NPPES public registry.