MARYSVILLE FAMILY MEDICINE
NPI 1285978882
Family Medicine in Marysville, WA

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

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

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: August 02, 2026.

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

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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

Phone(360) 659-1231

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALEY ANTHES ARNP, NP-C

Nurse Practitioner (Family)