PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1134656135
General Practice in Olympia, WA

Active since May 22, 2017
1018 CAPITOL WAY S STE 300, OLYMPIA, WA 98501(360) 486-6508(360) 570-2077 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2025, Nov 26, 2017, May 22, 2017 (3 updates tracked since 2017).

About Providence Health & Services Washington NPPES

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

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1134656135), doing business as Providence Medical Group Southwest Washington, is a healthcare organization registered as a general practice in Olympia, Washington and active in the NPI registry since May 2017. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1134656135
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address1018 CAPITOL WAY S STE 300Olympia, WA 98501-1212
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (360) 486-6508
Fax(360) 570-2077
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMay 22, 2017
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1134656135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
1018 CAPITOL WAY S STE 300, Olympia, WA 98501

Other Names 1

Doing Business AsProvidence Medical Group Southwest Washington

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

645

Medicare enrollment records show 645 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 287 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Nurse Practitioner121
Family Practice104
Internal Medicine74
Neurology46
Hospitalist29
Obstetrics/Gynecology29
Urology20
Infectious Disease18
34 other specialties204

Nearest to this location (20)

See all 645
Nurse Practitioner
NPI 1578039749
225 STATE AVE NE
Olympia, WA 98501
(360) 486-6400
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1285917930
120 STATE AVE NE # 144
Olympia, WA 98501
(253) 256-5266
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1336446012
1011 10TH AVE SE
Olympia, WA 98501
(360) 349-0033
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1013435882
2100 CATON WAY SW
Olympia, WA 98502
(360) 866-7406
✔ PECOS✔ Accepts Medicare1.3 mi
Psychiatry
NPI 1154473015
2617 12TH CT SW STE B6
Olympia, WA 98502
(360) 705-3690
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1205218153
1620 COOPER POINT RD SW
Olympia, WA 98502
(604) 866-7103
✔ PECOS✔ Accepts Medicare1.7 mi
Physical Therapist in Private Practice
NPI 1265949408
1620 COOPER POINT RD SW
Olympia, WA 98502
(360) 486-6710
✔ Accepts Medicare1.7 mi
Emergency Medicine
NPI 1376791269
1620 COOPER POINT RD SW
Olympia, WA 98502
(360) 486-6710
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1356875421
1620 COOPER POINT RD SW
Olympia, WA 98502
(604) 866-7103
✔ PECOS✔ Accepts Medicare1.7 mi
Neurosurgery
NPI 1548201346
3909 9TH AVE SW
Olympia, WA 98502
(360) 570-3460
✔ PECOS✔ Accepts Medicare2.3 mi
Sports Medicine
NPI 1831287010
3901 CAPITAL MALL DR SW STE A
Olympia, WA 98502
(360) 570-3460
✔ PECOS✔ Accepts Medicare2.4 mi
Anesthesiology
NPI 1023105764
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 706-6212
✔ PECOS✔ Accepts Medicare2.4 mi
Physical Medicine and Rehabilitation
NPI 1710062740
410 PROVIDENCE LN NE BUILDING 2
Olympia, WA 98506
(360) 493-4500
✔ PECOS2.6 mi
Obstetrics/Gynecology
NPI 1497077218
3425 ENSIGN RD NE STE 220
Olympia, WA 98506
(360) 493-4015
✔ PECOS✔ Accepts Medicare2.6 mi
Urology
NPI 1679502017
149 LILLY RD NE PMG SW WA OLYMPIA UROLOGY
Olympia, WA 98506
(360) 486-6772
✔ PECOS✔ Accepts Medicare2.6 mi
Infectious Disease
NPI 1427347764
3525 ENSIGN RD NE STE F
Olympia, WA 98506
(360) 493-4001
✔ PECOS✔ Accepts Medicare2.7 mi
Hospitalist
NPI 1265963805
413 LILLY RD NE
Olympia, WA 98506
(360) 493-4083
✔ PECOS✔ Accepts Medicare2.7 mi
Registered Dietitian or Nutrition Professional
NPI 1285885053
413 LILLY RD NE
Olympia, WA 98506
(360) 493-7567
✔ Accepts Medicare2.7 mi
Certified Nurse Midwife (CNM)
NPI 1013324656
205 LILLY RD NE BLDG B SUITE C
Olympia, WA 98506
(360) 456-0555
✔ PECOS✔ Accepts Medicare2.7 mi
Vascular Surgery
NPI 1811974652
128 LILLY RD NE STE 205
Olympia, WA 98506
(360) 493-7444
✔ PECOS✔ Accepts Medicare2.7 mi
See all 645 clinicians

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 1134656135. It was assigned to this organization in the NPPES registry on May 22, 2017. The provider is doing business as Providence Medical Group Southwest Washington.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 1018 Capitol Way S Ste 300, Olympia, WA 98501. The listed phone number is (360) 486-6508.

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.

How many clinicians bill Medicare through Providence Health & Services Washington?

According to the CMS Revalidation Reassignment List (October 2026 release), 645 clinicians in 42 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 (121), Family Practice (104) and Internal Medicine (74). Of these, 287 practice 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.