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NORTHWEST MEDICAL GROUP PLLC
NPI 1154006492
Preventive Medicine - Occupational Medicine in Moses Lake, WA

Active since June 15, 2023CLIA 50D2273497 · Waiver
938 W 3RD AVE, MOSES LAKE, WA 98837(509) 350-4785(509) 380-9591 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2024, Aug 10, 2024, Aug 9, 2023 and 1 more (4 updates tracked since 2023).

About Northwest Medical Group Pllc NPPES

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

NORTHWEST MEDICAL GROUP PLLC (NPI 1154006492) is a healthcare organization registered as an occupational medicine in Moses Lake, Washington and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Moses Lake, and lists Brandon Penix, Owner, as its authorized official.

NPPES Registry Identity

NPI1154006492
Entity TypeOrganization
Primary Taxonomy2083X0100X
Legal Business NameNORTHWEST MEDICAL GROUP PLLC
Location Address938 W 3RD AVEMoses Lake, WA 98837-2011
Mailing Address938 W 3rd AveMoses Lake, WA 98837-2011 · (509) 350-4785
Phone(509) 350-4785
Fax(509) 380-9591
Organization SubpartNo
Authorized OfficialBrandon PenixOwner · (509) 350-4785
Enumeration DateJune 15, 2023
Last NPPES UpdateDecember 30, 20244 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1154006492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Also ListedRegistered Nurse · Occupational HealthTaxonomy 163WX0106X
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedMassage TherapistTaxonomy 225700000X
938 W 3RD AVE, Moses Lake, WA 98837
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Secondary Practice Location 1

Location 11240 S Pioneer Way Ste AMoses Lake, WA 98837-2347 · Phone (509) 350-4785 · Fax (509) 380-9591

Other Identifiers 1

Other0471864WA · Labor And Industries

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2273497

Northwest Medical Group PLLC · Moses Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D2273497
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBrandon Penix
Laboratory Phone(267) 827-0654
Laboratory LocationNorthwest Medical Group PLLC938 West Third Ave, Moses Lake, WA 98837
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KYLE THOMAS HICKMAN ARNP
Nurse Practitioner (Family)
938 W 3RD AVE
MOSES LAKE, WA 98837
Grant County (509) 350-4785

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 Northwest Medical Group PLLC's NPI number?

The NPI number for Northwest Medical Group PLLC is 1154006492. It was assigned to this organization in the NPPES registry on June 15, 2023.

Where is Northwest Medical Group PLLC located?

Northwest Medical Group PLLC is located at 938 W 3rd Ave, Moses Lake, WA 98837. The listed phone number is (509) 350-4785.

What is Northwest Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Does Northwest Medical Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2273497) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwest Medical Group PLLC was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.