PROVIDENCE HEALTH & SERVICES - WA
NPI 1144471533
Neurological Surgery in Everett, WA

Active since October 04, 2008
2320 RUCKER AVE, SUITE A, EVERETT, WA 98201(425) 259-5121(425) 252-1322 Get Directions Write a Review

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

About Providence Health & Services - Wa NPPES

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

PROVIDENCE HEALTH & SERVICES - WA (NPI 1144471533) is a healthcare organization registered as a neurological surgery 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

NPI1144471533
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WA
Location Address2320 RUCKER AVE, SUITE AEverett, WA 98201-2723
Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (425) 525-6652 · Fax (425) 525-6700
Fax(425) 252-1322
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 4, 2008
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1144471533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2320 RUCKER AVE, Everett, WA 98201

Other Names 1

Other NameProvidence Physician Group - Cranial Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 - Wa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

702

Medicare enrollment records show 702 clinicians reassign Medicare billing to Providence Health & Services - Wa, which bills Medicare for the services they deliver. Of these, 343 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner108
Internal Medicine90
Family Practice63
Emergency Medicine61
Neurology56
Hospitalist35
General Surgery29
Cardiovascular Disease (Cardiology)24
41 other specialties236

Nearest to this location (20)

See all 702
Mental Health Counselor
NPI 1205318433
2606 GRAND AVE LOWR
Everett, WA 98201
(425) 280-9063
✔ PECOS✔ Accepts Medicare0.3 mi
Emergency Medicine
NPI 1851418040
1716 W MARINE VIEW DR SUITE #C
Everett, WA 98201
(425) 259-0212
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1760358790
1716 W MARINE VIEW DR
Everett, WA 98201
(647) 206-1507
✔ PECOS✔ Accepts Medicare0.6 mi
Obstetrics/Gynecology
NPI 1972705762
900 PACIFIC AVE SUITE 501
Everett, WA 98201
(425) 259-3108
✔ PECOS✔ Accepts Medicare0.8 mi
Certified Nurse Midwife (CNM)
NPI 1346525284
900 PACIFIC AVE STE 501
Everett, WA 98201
(425) 683-0500
✔ PECOS0.8 mi
Physical Therapist in Private Practice
NPI 1306061676
900 PACIFIC AVE FIRST FLOOR
Everett, WA 98201
(425) 258-7311
0.8 mi
Qualified Speech Language Pathologist
NPI 1407355241
900 PACIFIC AVE FL 1
Everett, WA 98201
(425) 258-7311
0.8 mi
Addiction Medicine
NPI 1528504891
916 PACIFIC AVE
Everett, WA 98201
(425) 258-7390
✔ PECOS✔ Accepts Medicare0.8 mi
Physical Medicine and Rehabilitation
NPI 1043388812
916 PACIFIC AVE FL 2
Everett, WA 98201
(425) 261-4910
✔ PECOS✔ Accepts Medicare0.8 mi
Qualified Audiologist
NPI 1801837406
3216 NORTON AVE SUITE 102
Everett, WA 98201
(425) 297-5350
✔ Accepts Medicare0.9 mi
General Surgery
NPI 1114038437
3216 NORTON AVE STE 202
Everett, WA 98201
(425) 297-5330
✔ PECOS✔ Accepts Medicare0.9 mi
Vascular Surgery
NPI 1740268325
3216 NORTON AVE SUITE 201
Everett, WA 98201
(425) 258-4624
✔ PECOS✔ Accepts Medicare0.9 mi
Undefined Physician Type (Specify)
NPI 1134189699
1330 ROCKEFELLER AVE SUITE 400
Everett, WA 98201
(425) 261-4950
✔ PECOS0.9 mi
Infectious Disease
NPI 1629396338
1330 ROCKEFELLER AVE STE 520
Everett, WA 98201
(425) 261-4905
✔ PECOS✔ Accepts Medicare0.9 mi
Internal Medicine
NPI 1487619060
1330 ROCKEFELLER AVE SUITE 210
Everett, WA 98201
(425) 261-4940
✔ PECOS✔ Accepts Medicare0.9 mi
Orthopedic Surgery
NPI 1235244054
1330 ROCKEFELLER AVE SUITE 310
Everett, WA 98201
(425) 339-5476
✔ PECOS✔ Accepts Medicare0.9 mi
Gastroenterology
NPI 1811378235
1330 ROCKEFELLER AVE STE 450
Everett, WA 98201
(425) 386-0695
✔ PECOS✔ Accepts Medicare0.9 mi
Endocrinology
NPI 1396199071
1330 ROCKEFELLER AVE STE 520
Everett, WA 98201
(425) 316-5440
✔ PECOS✔ Accepts Medicare0.9 mi
Otolaryngology
NPI 1962415430
1330 ROCKEFELLER AVE STE 310
Everett, WA 98201
(425) 297-5359
✔ PECOS✔ Accepts Medicare0.9 mi
Cardiovascular Disease (Cardiology)
NPI 1699094359
1330 ROCKEFELLER AVE STE 310
Everett, WA 98201
(425) 261-4925
✔ PECOS✔ Accepts Medicare0.9 mi
See all 702 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 - Wa's NPI number?

The NPI number for Providence Health & Services - Wa is 1144471533. It was assigned to this organization in the NPPES registry on October 4, 2008. The provider is also known as Providence Physician Group - Cranial Clinic.

Where is Providence Health & Services - Wa located?

Providence Health & Services - Wa is located at 2320 Rucker Ave Suite A, Everett, WA 98201. The listed phone number is (425) 259-5121.

What is Providence Health & Services - Wa's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Providence Health & Services - Wa enrolled in Medicare?

Yes. Providence Health & Services - Wa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Wa?

According to the CMS Revalidation Reassignment List (October 2026 release), 702 clinicians in 49 Medicare specialties reassign their Medicare billing to Providence Health & Services - Wa. 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 (108), Internal Medicine (90) and Family Practice (63). Of these, 343 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 - Wa was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.