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SWINOMISH INDIAN TRIBAL COMMUNITY
NPI 1164483285
Clinic/Center in La Conner, WA

Active since March 29, 2006
17400 RESERVATION RD, LA CONNER, WA 98257(360) 466-3167(360) 466-5528 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Swinomish Indian Tribal Community NPPES

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

SWINOMISH INDIAN TRIBAL COMMUNITY (NPI 1164483285) is a healthcare organization registered as a clinic/center in La Conner, Washington and active in the NPI registry since March 2006. The organization lists Rhonda Nelson, Clinical Applications Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164483285
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSWINOMISH INDIAN TRIBAL COMMUNITY
Location Address17400 RESERVATION RDLa Conner, WA 98257-8801
Mailing AddressPo Box 683La Conner, WA 98257-0683 · (360) 466-3167 · Fax (360) 466-5528
Phone(360) 466-3167
Fax(360) 466-5528
Organization SubpartNo
Authorized OfficialRhonda NelsonClinical Applications Coordinator · (360) 466-3167
Enumeration DateMarch 29, 2006
Last NPPES UpdateOctober 5, 2011
✔ NPI 1164483285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
17400 RESERVATION RD, La Conner, WA 98257
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Other Identifiers 2

Medicare ID-Type UnspecifiedHSZ075WA
Medicaid7084320WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.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)

Swinomish Indian Tribal Community is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Swinomish Indian Tribal Community, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Justin Iwasaki, MD
Family Practice
NPI 1467745117
17400 RESERVATION RD
La Conner, WA 98257
(360) 466-3167
✔ PECOS✔ Accepts MedicareSame address
Monica Carrillo, MD
Family Practice
NPI 1134271364
4455 CORDATA PKWY
Bellingham, WA 98226
(360) 671-3222
✔ PECOS28 mi
Frank James, MD
Family Practice
NPI 1730248550
2592 KWINA RD
Bellingham, WA 98226
(360) 312-2000
✔ PECOS✔ Accepts Medicare28 mi
Danial Khan
Nurse Practitioner
NPI 1366845257
2608 KWINA RD
Bellingham, WA 98226
(360) 384-0464
✔ PECOS✔ Accepts Medicare28 mi

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 Swinomish Indian Tribal Community's NPI number?

The NPI number for Swinomish Indian Tribal Community is 1164483285. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Swinomish Indian Tribal Community located?

Swinomish Indian Tribal Community is located at 17400 Reservation Rd, La Conner, WA 98257. The listed phone number is (360) 466-3167.

What is Swinomish Indian Tribal Community's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Swinomish Indian Tribal Community enrolled in Medicare?

Yes. Swinomish Indian Tribal Community is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Swinomish Indian Tribal Community?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Swinomish Indian Tribal Community. 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 Family Practice (3) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Swinomish Indian Tribal Community accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Swinomish Indian Tribal Community 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 Swinomish Indian Tribal Community was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.