PRIMARY CARE AT HOME PLLC
NPI 1124950761
Nurse Practitioner - Family in Olympia, WA
About Primary Care At Home Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE AT HOME PLLC (NPI 1124950761) is a healthcare organization registered as a family in Olympia, Washington and active in the NPI registry since May 2026. The organization lists Nancy Minjire, Sole Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Primary Care At Home Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Primary Care At Home PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Primary Care At Home PLLC's NPI number?
The NPI number for Primary Care At Home PLLC is 1124950761. It was assigned to this organization in the NPPES registry on May 29, 2026.
Where is Primary Care At Home PLLC located?
Primary Care At Home PLLC is located at 7029 Raptor Ave NE, Olympia, WA 98516. The listed phone number is (315) 547-0502.
What is Primary Care At Home PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Primary Care At Home PLLC enrolled in Medicare?
Yes. Primary Care At Home PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care At Home PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Primary Care At Home PLLC. 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.
When was this NPI record last updated?
The NPPES record for Primary Care At Home PLLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Primary Care At Home Pllc · NPI 1124950761
Family organization in Olympia, Washington. Organization record, active in the CMS NPPES registry since May 29, 2026.
## Identity
- **NPI:** 1124950761 (Entity type: Organization)
- **Enumerated:** May 29, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Nancy Minjire, SOLE OWNER
## Practice location
- **Address:** 7029 RAPTOR AVE NE, Olympia, WA 98516-3149
- **Phone:** (315) 547-0502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124950761) · Data from the CMS NPPES public registry.