N W PEDIATRIC CENTER INC P S
NPI 1194091637
Pediatrics in Rochester, WA

Q: What is N W Pediatric Center Inc P S's NPI number?

The NPI number for N W Pediatric Center Inc P S is 1194091637. It was assigned to this organization in the NPPES registry on March 29, 2012.

Q: What is N W Pediatric Center Inc P S's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 29, 2012

18313 PAULSON ST SW, ROCHESTER, WA 98579(360) 736-6778(360) 736-6552 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About N W Pediatric Center Inc P S NPPES

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

N W PEDIATRIC CENTER INC P S (NPI 1194091637) is a healthcare organization registered as a pediatrics in Rochester, Washington and active in the NPI registry since March 2012. The organization lists Lisa Gail Mckay, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1194091637

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameN W PEDIATRIC CENTER INC P S

Location Address18313 PAULSON ST SWRochester, WA 98579-9262

Mailing Address1911 Cooks Hill RdCentralia, WA 98531-9073 · (360) 736-6778 · Fax (360) 736-6552

Phone(360) 736-6778

Fax(360) 736-6552

Organization SubpartYesParent: N.w.pediatric Center Inc Ps

Authorized OfficialLisa Gail MckayPractice Manager · (360) 736-6777

Enumeration DateMarch 29, 2012

Last NPPES UpdateOctober 9, 2025

NPPES CertifiedOctober 9, 2025

✔ NPI 1194091637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WA · MD00027525✔ Licensed in WA · MD00048049✔ Licensed in WA · MD00032554✔ Licensed in WA · MD00028578✔ Licensed in WA · MD00029916✔ Licensed in WA · MD00043677✔ Licensed in WA · MD00038226

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License D160180464 (WA)

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MD00039351 (WA)

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License AP30006273 (WA), AP60093357 (WA), AP60086265 (WA), AP30007039 (WA), AP30004257 (WA)

18313 PAULSON ST SW, Rochester, WA 98579

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Other Identifiers 14

Medicaid8349342WI

Medicaid1058825WI

Medicaid8488298WA

Medicaid9636994WA

Medicaid1072958WA

Medicaid9653551WA

Medicaid9661323WA

Medicaid8141947WA

Medicaid8251324WA

Medicaid9643156WA

Medicaid8173882WA

Medicaid8398356WA

Medicaid961422WA

Medicaid2010815WA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 7

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

BRIAN D OTTESEN ARNP

Nurse Practitioner (Family)

18313 PAULSON ST SW
ROCHESTER, WA 98579

Thurston County (360) 827-8400

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Clinic/Center (Rural Health)

18313 PAULSON ST SW, SUITE A
ROCHESTER, WA 98579

Thurston County (360) 827-8400

KATIE M VADALA RN

Registered Nurse (Ambulatory Care)

18313 PAULSON ST SW
ROCHESTER, WA 98579

Thurston County (360) 827-8400

JULIE RICE ARNP

Nurse Practitioner (Family)

18313 PAULSON ST SW, SUITE A
ROCHESTER, WA 98579

Thurston County (360) 273-8818

MRS. JESSICA DIANE MCKEOWN RYAN ARNP

Nurse Practitioner (Family)

18313 PAULSON ST SW
ROCHESTER, WA 98579

Thurston County (360) 827-8400

ASHLEY MIRALDI

Nurse Practitioner (Family)

18313 PAULSON ST SW
ROCHESTER, WA 98579

Thurston County (360) 827-8400

JORDAN M ABEL MD

Family Medicine

18313 PAULSON ST SW
ROCHESTER, WA 98579

Thurston County (360) 827-8400

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 N W Pediatric Center Inc P S's NPI number?

The NPI number for N W Pediatric Center Inc P S is 1194091637. It was assigned to this organization in the NPPES registry on March 29, 2012.

Where is N W Pediatric Center Inc P S located?

N W Pediatric Center Inc P S is located at 18313 Paulson St SW, Rochester, WA 98579. The listed phone number is (360) 736-6778.

What is N W Pediatric Center Inc P S's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does N W Pediatric Center Inc P S accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list N W Pediatric Center Inc P S 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 N W Pediatric Center Inc P S was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.