PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1194099390
Internal Medicine - Pulmonary Disease in Spokane, 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 1194099390), doing business as Providence Medical Group, is a healthcare organization registered as a pulmonary disease in Spokane, Washington and active in the NPI registry since March 2012. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 10
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation 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).
Medicare Revalidation Due Date 2
Next revalidation due by October 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
943Medicare enrollment records show 943 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 111 practice at this address and 654 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 55
Nearest to this location (20)
See all 943Source: 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 1194099390. It was assigned to this organization in the NPPES registry on March 6, 2012. The provider is doing business as Providence Medical Group.
Where is Providence Health & Services Washington located?
Providence Health & Services Washington is located at 101 W 8th Ave Mother Gamelin Center 3rd Floor, Spokane, WA 99204. The listed phone number is (509) 474-2072.
What is Providence Health & Services Washington's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Providence Health & Services Washington enrolled in Medicare?
Yes. Providence Health & Services Washington is registered in the Medicare PECOS enrollment system.
When is Providence Health & Services Washington's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Providence Health & Services Washington holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Non-DME Part B, Hawaii, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Providence Health & Services Washington?
According to the CMS Revalidation Reassignment List (October 2026 release), 943 clinicians in 55 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 (143), Internal Medicine (142) and Family Practice (110). Of these, 111 practice at this address and 654 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 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 1194099390
Pulmonary Disease organization in Spokane, Washington. Organization record, active in the CMS NPPES registry since March 6, 2012.
## Identity
- **NPI:** 1194099390 (Entity type: Organization)
- **Enumerated:** March 6, 2012
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Also known as:** PROVIDENCE MEDICAL GROUP (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR, Spokane, WA 99204-2307
- **Phone:** (509) 474-2072
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Hawaii, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 943 clinicians in 55 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (143), Internal Medicine (142), Family Practice (110); 111 practice at this address and 654 within 10 miles; [full list](https://npiprofile.com/npi/1194099390/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194099390) · Data from the CMS NPPES public registry.