PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1174744304
Family Medicine in Olympia, WA
About Providence Health & Services Washington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1174744304), doing business as Providence Medical Group Southwest Washington, is a healthcare organization registered as a family medicine in Olympia, Washington and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Olympia and lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Secondary Practice Location 1
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 Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
733Medicare enrollment records show 733 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 48 practice at this address and 287 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 43
Nearest to this location (20)
See all 733Olympia, WA 98506
Olympia, WA 98506
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 1174744304. It was assigned to this organization in the NPPES registry on May 2, 2007. 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 525 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 793-7230.
What is Providence Health & Services Washington's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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), 733 clinicians in 43 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 (105) and Internal Medicine (86). Of these, 48 practice at this address and 287 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.
# Providence Health & Services Washington · NPI 1174744304
Family Medicine organization in Olympia, Washington. Organization record, active in the CMS NPPES registry since May 2, 2007.
## Identity
- **NPI:** 1174744304 (Entity type: Organization)
- **Enumerated:** May 2, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Providence Medical Group SouthWest Washington (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 525 LILLY RD NE, Olympia, WA 98506
- **Phone:** (360) 793-7230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 733 clinicians in 43 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (121), Family Practice (105), Internal Medicine (86); 48 practice at this address and 287 within 10 miles; [full list](https://npiprofile.com/npi/1174744304/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174744304) · Data from the CMS NPPES public registry.