PROVIDENCE HEALTH & SERVICES-WA
NPI 1164673554
Nurse Practitioner in Everett, WA
About Providence Health & Services-wa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES-WA (NPI 1164673554) is a healthcare organization registered as a nurse practitioner in Everett, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Asst Secretary-enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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-wa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
135Medicare enrollment records show 135 clinicians reassign Medicare billing to Providence Health & Services-Wa, which bills Medicare for the services they deliver. Of these, 76 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 135Source: 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 1164673554. It was assigned to this organization in the NPPES registry on October 4, 2008.
Where is Providence Health & Services-Wa located?
Providence Health & Services-Wa is located at 1509 California St, Everett, WA 98201. The listed phone number is (425) 297-5770.
What is Providence Health & Services-Wa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
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), 135 clinicians in 19 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 (49), Internal Medicine (41) and Psychiatry (8). Of these, 76 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Health & Services-Wa accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services-Wa 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-Wa was last updated on May 7, 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.
# Providence Health & Services-Wa · NPI 1164673554
Nurse Practitioner organization in Everett, Washington. Organization record, active in the CMS NPPES registry since October 4, 2008.
## Identity
- **NPI:** 1164673554 (Entity type: Organization)
- **Enumerated:** October 4, 2008
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASST SECRETARY-ENROLLMENT
## Practice location
- **Address:** 1509 CALIFORNIA ST, Everett, WA 98201-3540
- **Phone:** (425) 297-5770 · **Fax:** (425) 259-5831
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 135 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (49), Internal Medicine (41), Psychiatry (8); 76 practice within 10 miles; [full list](https://npiprofile.com/npi/1164673554/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164673554) · Data from the CMS NPPES public registry.