PROLIANCE EDMONDS CENTER FOR OUTPATIENT SURGERY
NPI 1295775369
Clinic/Center - Ambulatory Surgical in Edmonds, WA

Active since June 07, 2006CLIA 50D1011516 · Waiver
7320 216TH ST SW STE 140, EDMONDS, WA 98026(206) 673-3750(206) 673-3763 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2024, Dec 6, 2023, May 27, 2021 (3 updates tracked since 2021).

About Proliance Edmonds Center For Outpatient Surgery NPPES

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

PROLIANCE EDMONDS CENTER FOR OUTPATIENT SURGERY (NPI 1295775369) is a healthcare organization registered as an ambulatory surgical in Edmonds, Washington and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Cori M. Pleasant, Del Cred & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1295775369
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePROLIANCE SURGEONS INC P S
Location Address7320 216TH ST SW STE 140Edmonds, WA 98026-8028
Mailing Address7320 216th St Sw Ste 140Edmonds, WA 98026-8028 · (425) 673-3750 · Fax (425) 673-3763
Fax(206) 673-3763
Organization SubpartNo
Authorized OfficialCori M. PleasantDel Cred & Enrollment Manager · (206) 838-2585
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1295775369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in WA · 601484763
7320 216TH ST SW STE 140, Edmonds, WA 98026

Other Names 1

Doing Business AsProliance Edmonds Center For Outpatient Surgery

Other Identifiers 2

Medicaid1043609WA
Other173267WA · Wa Labor & Industries

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)

Proliance Edmonds Center For Outpatient Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

589

Medicare enrollment records show 589 clinicians reassign Medicare billing to Proliance Edmonds Center For Outpatient Surgery, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 120 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Orthopedic Surgery169
Physical Therapist in Private Practice97
Diagnostic Radiology64
Otolaryngology52
Occupational Therapist in Private Practice38
Qualified Audiologist26
Nurse Practitioner23
Obstetrics/Gynecology20
19 other specialties100

Nearest to this location (20)

See all 589
Orthopedic Surgery
NPI 1467462861
7320 216TH ST SW STE 320
Edmonds, WA 98026
(425) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1194771998
7320 216TH ST SW SUITE 320
Edmonds, WA 98026
(425) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1780997411
7320 216TH ST SW STE 320
Edmonds, WA 98026
(425) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1356607980
7320 216TH ST SW STE 320
Edmonds, WA 98026
(425) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1770699159
7320 216TH ST SW SUITE 320
Edmonds, WA 98026
(425) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1851380604
7320 216TH ST SW SUITE 320
Edmonds, WA 98026
(425) 673-3916
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1144340688
7320 216TH ST SW STE 320
Edmonds, WA 98026
(425) 673-3900
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1578939294
7320 216TH ST SW STE 320
Edmonds, WA 98026
(425) 673-3916
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1114376555
7320 216TH ST SW STE 320
Edmonds, WA 98026
(425) 673-3916
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1508865429
7320 216TH ST SW SUITE 320
Edmonds, WA 98026
(425) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1639668833
7320 216TH ST SW STE 320B
Edmonds, WA 98026
(425) 775-6996
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1568474062
7320 216TH ST SW SUITE 320
Edmonds, WA 98026
(425) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1245116300
7320 216TH ST SW STE 320A
Edmonds, WA 98026
(425) 741-0056
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1821037722
7320 216TH ST SW SUITE 320
Edmonds, WA 98026
(425) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1760710610
7320 216TH ST SW STE 320
Edmonds, WA 98026
(425) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1386744324
7320 216TH ST SW STE 320B
Edmonds, WA 98026
(425) 775-6996
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1437538550
7320 216TH ST SW STE 320
Edmonds, WA 98026
(425) 673-3916
✔ Accepts MedicareSame address
Podiatry
NPI 1760566426
7320 216TH ST SW STE 320B
Edmonds, WA 98026
(425) 775-6996
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1144265091
7320 216TH ST SW SUITE 320
Edmonds, WA 98026
(206) 673-3900
✔ PECOS✔ Accepts MedicareSame address
Hand Surgery
NPI 1639465024
21401 72ND AVE W
Edmonds, WA 98026
(425) 412-1874
✔ PECOS✔ Accepts Medicare0.2 mi
See all 589 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 of Waiver 50D1011516

Proliance Edmonds Center For Outpatient Surgery · Edmonds, WA
Active · expires Apr 4, 2028
CLIA Number50D1011516
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 25, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJustin Olsen
Laboratory Phone(425) 673-3750
Laboratory LocationProliance Edmonds Center For Outpatient Surgery7320 216th St SW Ste 140, Edmonds, WA 98026
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
3,990 services15 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
119 services73 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Proliance Surg Edmonds Ortho Ctr carries, from the Medicare DMEPOS supplier directory.

Proliance Surg Edmonds Ortho Ctr

DMEPOS supplier · Edmonds, WAOperated by Proliance Surgeons Inc P S
✔

Accepts Medicare assignment

Proliance Surg Edmonds Ortho Ctr agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20658359
Medicare Participant SinceJanuary 1, 1998
Supplier Location7320 216th St SW Ste 320Edmonds, WA 98026
Provider TypePhysician Assistant · Physician – Orthopedic/Orthopedic Surgery · Sports Medicine · Independently-Practicing Physical Therapist · Independently-Practicing Occupational Therapist · Multi-Specialty - Physician

Medicare Product Categories

Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Proliance Surgeons Inc P S's NPI number?

The NPI number for Proliance Surgeons Inc P S is 1295775369. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Proliance Edmonds Center For Outpatient Surgery.

Where is Proliance Surgeons Inc P S located?

Proliance Surgeons Inc P S is located at 7320 216th St SW Ste 140, Edmonds, WA 98026. The listed phone number is (206) 673-3750.

What is Proliance Surgeons Inc P S's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Proliance Surgeons Inc P S enrolled in Medicare?

Yes. Proliance Surgeons Inc P S is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proliance Surgeons Inc P S?

According to the CMS Revalidation Reassignment List (October 2026 release), 589 clinicians in 27 Medicare specialties reassign their Medicare billing to Proliance Surgeons Inc P S. 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 Orthopedic Surgery (169), Physical Therapist in Private Practice (97) and Diagnostic Radiology (64). Of these, 19 practice at this address and 120 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Proliance Surgeons Inc P S accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Proliance Surg Edmonds Ortho Ctr accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Proliance Surgeons Inc P S hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1011516) 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 Proliance Surgeons Inc P S accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Proliance Surgeons Inc P S 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 Proliance Surgeons Inc P S was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.