PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1225335425
Surgery - Vascular Surgery in Everett, WA

Active since February 24, 2011
1330 ROCKEFELLER AVE, STE 520, EVERETT, WA 98201(425) 287-5200(425) 287-5210 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2025, Mar 21, 2025, Apr 16, 2021 (3 updates tracked since 2021).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1225335425), doing business as Pmg Nw Wa Ever Vascular Surg, is a healthcare organization registered as a vascular surgery in Everett, Washington and active in the NPI registry since February 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1225335425
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address1330 ROCKEFELLER AVE, STE 520Everett, WA 98201-1684
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Fax(425) 287-5210
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateFebruary 24, 2011
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1225335425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X
Also ListedPhysician AssistantTaxonomy 363A00000X
1330 ROCKEFELLER AVE, Everett, WA 98201

Other Names 1

Doing Business AsPmg Nw Wa Ever Vascular Surg

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

Medicare Participation & PECOS CMS

Medicare enrollment 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).

Clinicians Billing Medicare Through This Organization

702

Medicare enrollment records show 702 clinicians reassign Medicare billing to Providence Health & Services - Washington, which bills Medicare for the services they deliver. Of these, 39 practice at this address and 338 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner108
Internal Medicine90
Family Practice63
Emergency Medicine61
Neurology56
Hospitalist35
General Surgery29
Cardiovascular Disease (Cardiology)24
41 other specialties236

Nearest to this location (20)

See all 702
Gastroenterology
NPI 1811378235
1330 ROCKEFELLER AVE STE 450
Everett, WA 98201
(425) 386-0695
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1396199071
1330 ROCKEFELLER AVE STE 520
Everett, WA 98201
(425) 316-5440
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1902121635
1330 ROCKEFELLER AVE STE 520
Everett, WA 98201
(425) 297-5200
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1962415430
1330 ROCKEFELLER AVE STE 310
Everett, WA 98201
(425) 297-5359
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1699094359
1330 ROCKEFELLER AVE STE 310
Everett, WA 98201
(425) 261-4925
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1639734130
1330 ROCKEFELLER AVE STE 210
Everett, WA 98201
(425) 261-4905
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1215134697
1330 ROCKEFELLER STE 520
Everett, WA 98201
(425) 297-5200
✔ PECOS✔ Accepts MedicareSame address
Cardiac Surgery
NPI 1144276106
1330 ROCKEFELLER AVE SUITE 400
Everett, WA 98201
(425) 261-4950
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1962518472
1330 ROCKEFELLER AVE SUITE 520
Everett, WA 98201
(425) 261-4605
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1922044973
1330 ROCKEFELLER AVE STE 120
Everett, WA 98201
(425) 339-5442
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1891967683
1330 ROCKEFELLER AVE SUITE 230
Everett, WA 98201
(425) 261-4925
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801632567
1330 ROCKEFELLER AVE STE 140
Everett, WA 98201
(425) 261-4210
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1356435184
1330 ROCKEFELLER AVE SUITE 230
Everett, WA 98201
(425) 261-4940
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1437273034
1330 ROCKEFELLER AVE STE 310
Everett, WA 98201
(254) 297-5350
✔ Accepts MedicareSame address
Surgical Oncology
NPI 1821355793
1330 ROCKEFELLER AVE
Everett, WA 98201
(425) 339-5442
✔ PECOS✔ Accepts MedicareSame address
Undefined Physician Type (Specify)
NPI 1134189699
1330 ROCKEFELLER AVE SUITE 400
Everett, WA 98201
(425) 261-4950
✔ PECOSSame address
Orthopedic Surgery
NPI 1235244054
1330 ROCKEFELLER AVE SUITE 310
Everett, WA 98201
(425) 339-5476
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1326535543
1700 13TH ST
Everett, WA 98201
(425) 259-0212
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1639819675
1700 13TH ST
Everett, WA 98201
(713) 870-8189
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1174144265
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
See all 702 clinicians

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 Providence Health & Services - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1225335425. It was assigned to this organization in the NPPES registry on February 24, 2011. The provider is doing business as PMG NW WA Ever Vascular Surg.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 1330 Rockefeller Ave Ste 520, Everett, WA 98201. The listed phone number is (425) 287-5200.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Providence Health & Services - Washington enrolled in Medicare?

Yes. Providence Health & Services - Washington is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Washington?

According to the CMS Revalidation Reassignment List (October 2026 release), 702 clinicians in 49 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 (108), Internal Medicine (90) and Family Practice (63). Of these, 39 practice at this address and 338 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 12, 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.