MARYSVILLE FAMILY MEDICINE
NPI 1285978882
Family Medicine in Marysville, WA

Active since November 20, 2012CLIA 50D2051998 · Microscopy
4404 80TH ST NE, MARYSVILLE, WA 98270(360) 659-1231 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 23, 2016, Feb 16, 2016 (2 updates tracked since 2016).

About Marysville Family Medicine NPPES

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

MARYSVILLE FAMILY MEDICINE (NPI 1285978882) is a healthcare organization registered as a family medicine in Marysville, Washington and active in the NPI registry since November 2012. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Kim Holstein, Director Pfs, as its authorized official.

NPPES Registry Identity

NPI1285978882
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP, INC PS
Location Address4404 80TH ST NEMarysville, WA 98270-3427
Mailing Address1728 W Marine View DrEverett, WA 98201-2094 · (425) 259-4041
Organization SubpartYesParent: Western Washington Medical Group
Authorized OfficialKim HolsteinDirector Pfs · (425) 259-4041
Enumeration DateNovember 20, 2012
Last NPPES UpdateFebruary 23, 20162 updates tracked since enumeration
✔ NPI 1285978882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4404 80TH ST NE, Marysville, WA 98270

Other Names 1

Doing Business AsMarysville Family Medicine

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)

Marysville Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Marysville Family Medicine, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner23
Family Practice11
Pulmonary Disease9
Critical Care (Intensivists)8
Orthopedic Surgery8
Gastroenterology6
Cardiovascular Disease (Cardiology)4
Clinical Psychologist3
13 other specialties18

Nearest to this location (20)

See all 90
Nurse Practitioner
NPI 1083353841
4404 80TH ST NE
Marysville, WA 98270
(360) 659-1231
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336393222
4404 80TH ST NE
Marysville, WA 98270
(360) 659-1231
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1356363162
4404 80TH ST NE
Marysville, WA 98270
(360) 659-1231
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1891896262
4404 80TH ST NE
Marysville, WA 98270
(360) 659-1231
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1255545786
4404 80TH ST NE
Marysville, WA 98270
(360) 659-1231
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962495929
1630 GROVE ST
Marysville, WA 98270
(360) 653-3500
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1801759907
1630 GROVE ST
Marysville, WA 98270
(360) 653-3500
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1376324368
1630 GROVE ST
Marysville, WA 98270
(360) 653-3500
✔ PECOS0.5 mi
Nurse Practitioner
NPI 1619407467
8923 SOPER HILL RD
Marysville, WA 98270
(425) 397-1700
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1063074169
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-5660
✔ PECOS✔ Accepts Medicare4.9 mi
Orthopedic Surgery
NPI 1235244054
1330 ROCKEFELLER AVE SUITE 310
Everett, WA 98201
(425) 339-5476
✔ PECOS✔ Accepts Medicare5.0 mi
Otolaryngology
NPI 1487809703
3125 COLBY AVE STE J
Everett, WA 98201
(425) 791-3093
✔ PECOS✔ Accepts Medicare6.6 mi
Qualified Audiologist
NPI 1659933893
3125 COLBY AVE STE J
Everett, WA 98201
(425) 791-3093
✔ Accepts Medicare6.6 mi
Podiatry
NPI 1457391088
3202 COLBY AVE SUITE E
Everett, WA 98201
(425) 259-0855
✔ PECOS✔ Accepts Medicare6.7 mi
Clinical Psychologist
NPI 1235186917
3525 COLBY AVE SUITE 200
Everett, WA 98201
(425) 259-1366
✔ PECOS✔ Accepts Medicare7.0 mi
Mental Health Counselor
NPI 1124422332
3525 COLBY AVE STE 200
Everett, WA 98201
(425) 259-1366
✔ PECOS✔ Accepts Medicare7.0 mi
Occupational Therapist in Private Practice
NPI 1164451225
3726 BROADWAY, SUITE 201
Everett, WA 98201
(425) 317-9119
✔ Accepts Medicare7.0 mi
Orthopedic Surgery
NPI 1336439116
3726 BROADWAY STE 201
Everett, WA 98201
(425) 317-9119
✔ PECOS✔ Accepts Medicare7.0 mi
Gastroenterology
NPI 1760694186
4225 HOYT AVE STE A
Everett, WA 98203
(425) 259-3122
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1629885801
4225 HOYT AVE STE A
Everett, WA 98203
(425) 259-3122
✔ PECOS✔ Accepts Medicare7.6 mi
See all 90 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2051998

Marysville Family Medicine · Marysville, WA
Active · expires Apr 4, 2028
CLIA Number50D2051998
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 3, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAndrew R. Kruse
Laboratory Phone(360) 659-1231
Laboratory LocationMarysville Family Medicine4404 80th St NE, Marysville, WA 98270
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Western Washington Medical Group, Inc Ps's NPI number?

The NPI number for Western Washington Medical Group, Inc Ps is 1285978882. It was assigned to this organization in the NPPES registry on November 20, 2012. The provider is doing business as Marysville Family Medicine.

Where is Western Washington Medical Group, Inc Ps located?

Western Washington Medical Group, Inc Ps is located at 4404 80th St NE, Marysville, WA 98270. The listed phone number is (360) 659-1231.

What is Western Washington Medical Group, Inc Ps's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Western Washington Medical Group, Inc Ps enrolled in Medicare?

Yes. Western Washington Medical Group, Inc Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Western Washington Medical Group, Inc Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 21 Medicare specialties reassign their Medicare billing to Western Washington Medical Group, Inc Ps. 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 (23), Family Practice (11) and Pulmonary Disease (9). Of these, 5 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Western Washington Medical Group, Inc Ps hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2051998) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Western Washington Medical Group, Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Western Washington Medical Group, Inc Ps 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 Western Washington Medical Group, Inc Ps was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.