WASHINGTON CENTER FOR PAIN MANAGEMENT LLC
NPI 1194381905
Clinic/Center in Puyallup, WA

Active since May 16, 2019
120 14TH AVE SE STE B, PUYALLUP, WA 98372(425) 774-1538 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2019, May 16, 2019 (2 updates tracked since 2019).

About Washington Center For Pain Management Llc NPPES

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

WASHINGTON CENTER FOR PAIN MANAGEMENT LLC (NPI 1194381905) is a healthcare organization registered as a clinic/center in Puyallup, Washington and active in the NPI registry since May 2019. The organization lists Jacky Hong, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1194381905
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWASHINGTON CENTER FOR PAIN MANAGEMENT LLC
Location Address120 14TH AVE SE STE BPuyallup, WA 98372-3718
Mailing AddressPo Box 827Bellevue, WA 98009-0827 · (425) 774-1538
Organization SubpartYesParent: Washington Center For Pain Management Pllc
Authorized OfficialJacky HongOffice Manager · (425) 774-1538
Enumeration DateMay 16, 2019
Last NPPES UpdateDecember 3, 20192 updates tracked since enumeration
✔ NPI 1194381905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
120 14TH AVE SE STE B, Puyallup, WA 98372

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Washington Center For Pain Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Washington Center For Pain Management LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Anesthesiology
NPI 1538106216
155 LILLY RD NE
Olympia, WA 98506
(425) 774-1538
✔ PECOS✔ Accepts Medicare28 mi
Clinical Psychologist
NPI 1932528395
2226 EASTLAKE AVE E # 1006
Seattle, WA 98102
(626) 800-6875
✔ PECOS✔ Accepts Medicare32 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013471663
1959 NE PACIFIC ST
Seattle, WA 98195
(206) 520-5000
✔ Accepts Medicare33 mi
Anesthesiology
NPI 1316238090
1550 N 115TH ST
Seattle, WA 98133
(206) 520-5000
✔ PECOS✔ Accepts Medicare37 mi
Pain Management
NPI 1336123827
21616 76TH AVE W STE 102
Edmonds, WA 98026
(425) 774-1538
✔ PECOS✔ Accepts Medicare43 mi
Anesthesiology
NPI 1790942886
21616 76TH AVE W STE 102
Edmonds, WA 98026
(425) 774-1538
✔ PECOS✔ Accepts Medicare43 mi
Anesthesiology
NPI 1831275643
21616 76TH AVE W SUITE 102
Edmonds, WA 98026
(425) 774-1538
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1730622408
10 N GREENE ST
Baltimore, MD 21201
(410) 605-7000
✔ PECOS2,333 mi

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 Washington Center For Pain Management LLC's NPI number?

The NPI number for Washington Center For Pain Management LLC is 1194381905. It was assigned to this organization in the NPPES registry on May 16, 2019.

Where is Washington Center For Pain Management LLC located?

Washington Center For Pain Management LLC is located at 120 14th Ave SE Ste B, Puyallup, WA 98372. The listed phone number is (425) 774-1538.

What is Washington Center For Pain Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Washington Center For Pain Management LLC enrolled in Medicare?

Yes. Washington Center For Pain Management LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Washington Center For Pain Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Washington Center For Pain Management LLC. 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 Anesthesiology (4), Certified Registered Nurse Anesthetist (CRNA) (1) and Clinical Psychologist (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Washington Center For Pain Management LLC was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.