EDMONDS FAMILY CARE, PLLC
NPI 1184751638
Clinic/Center - Primary Care in Lynnwood, WA

Active since February 28, 2007CLIA 50D1043662 · Microscopy
6101 200TH ST SW, STE#208, LYNNWOOD, WA 98036(425) 775-2066(425) 775-5306 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 8, 2021, Oct 18, 2016 (2 updates tracked since 2016).

About Edmonds Family Care, Pllc NPPES

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

EDMONDS FAMILY CARE, PLLC (NPI 1184751638) is a healthcare organization registered as a primary care in Lynnwood, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Svetlana A Bugaichuk, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184751638
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEDMONDS FAMILY CARE, PLLC
Location Address6101 200TH ST SW, STE#208Lynnwood, WA 98036-6077
Mailing Address6101 200th St Sw, Ste#208Lynnwood, WA 98036-6077 · (425) 775-2066 · Fax (425) 775-5306
Fax(425) 775-5306
Organization SubpartNo
Authorized OfficialSvetlana A BugaichukOffice Manager · (425) 775-2066
Enumeration DateFebruary 28, 2007
Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1184751638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WA · 602496426
6101 200TH ST SW, Lynnwood, WA 98036

Other Identifiers 2

Other0199257WA · Labor&industries
Medicaid7128606WA

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)

Edmonds Family Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Edmonds Family Care, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1194739987
6101 200TH ST SW STE 208
Lynnwood, WA 98036
(425) 775-2066
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407428097
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 317-8025
✔ PECOS✔ Accepts Medicare6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 50D1043662

Edmonds Family Care, PLLC · Lynnwood, WA
Active · expires Apr 4, 2028
CLIA Number50D1043662
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2005
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTanya Bryant
Laboratory Phone(425) 775-2066
Laboratory LocationEdmonds Family Care, PLLC6101 200th St SW Ste 208, Lynnwood, WA 98036
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Edmonds Family Care, PLLC's NPI number?

The NPI number for Edmonds Family Care, PLLC is 1184751638. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Edmonds Family Care, PLLC located?

Edmonds Family Care, PLLC is located at 6101 200th St SW Ste#208, Lynnwood, WA 98036. The listed phone number is (425) 775-2066.

What is Edmonds Family Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Edmonds Family Care, PLLC enrolled in Medicare?

Yes. Edmonds Family Care, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edmonds Family Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Edmonds Family Care, PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Edmonds Family Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D1043662) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Edmonds Family Care, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Edmonds Family Care, PLLC 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 Edmonds Family Care, PLLC was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.