PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1205931508
Clinic/Center - Rural Health in Rochester, 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 1205931508) is a healthcare organization registered as a rural health in Rochester, Washington and active in the NPI registry since September 2006. The organization lists Donald Wayne Anderson, Asst Corp Sec For Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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
Revalidation due by March 31, 2027
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
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Providence Health & Services - Washington, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 24Source: 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 1205931508. It was assigned to this organization in the NPPES registry on September 13, 2006.
Where is Providence Health & Services - Washington located?
Providence Health & Services - Washington is located at 18313 Paulson St SW Suite A, Rochester, WA 98579. The listed phone number is (360) 827-8400.
What is Providence Health & Services - Washington's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
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), the Medicare Part A enrollment for this organization (Washington, Rural Health Clinic) is due for revalidation by March 31, 2027. 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), 24 clinicians in 4 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 (11), Family Practice (6) and Clinical Social Worker (4). Of these, 7 practice at this address and 10 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 13, 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 1205931508
Rural Health organization in Rochester, Washington. Organization record, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1205931508 (Entity type: Organization)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASST CORP SEC FOR ENROLLMENTS
## Practice location
- **Address:** 18313 PAULSON ST SW, SUITE A, Rochester, WA 98579-9262
- **Phone:** (360) 827-8400 · **Fax:** (360) 273-7301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, Washington, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 24 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (6), Clinical Social Worker (4); 7 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1205931508/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205931508) · Data from the CMS NPPES public registry.