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MICHELLE SUZANNE EDSTROM MD
NPI 1306401526
Pediatrics in Gig Harbor, WA

Active since May 02, 2019PECOS Enrolled
4700 POINT FOSDICK DR STE 211, GIG HARBOR, WA 98335(253) 851-5665 Get Directions Write a Review

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

Record update history: Jun 4, 2026, May 2, 2019 (2 updates tracked since 2019).

About Michelle Suzanne Edstrom Md NPPES

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

MICHELLE SUZANNE EDSTROM MD (NPI 1306401526) is an individual pediatrics provider in Gig Harbor, Washington, licensed in Washington (61330229) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306401526
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHELLE SUZANNE EDSTROMCredential: MD
Location Address4700 POINT FOSDICK DR STE 211Gig Harbor, WA 98335-1706
Mailing Address4700 Point Fosdick Dr Ste 211Gig Harbor, WA 98335-1706 · (253) 851-5665
Phone(253) 851-5665
Sole ProprietorNo
Enumeration DateMay 2, 2019
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1306401526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · 61330229
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4700 POINT FOSDICK DR STE 211, Gig Harbor, WA 98335
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Suzanne Edstrom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Edstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System
Same address
Pediatrics
4700 POINT FOSDICK DR STE 319
Gig Harbor, WA 98335
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1225674963 (253) 853-3888

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Michelle Edstrom's NPI number?

The NPI number for Michelle Edstrom is 1306401526. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Michelle Edstrom located?

Michelle Edstrom practices at 4700 Point Fosdick Dr Ste 211, Gig Harbor, WA 98335. The listed phone number is (253) 851-5665.

What is Michelle Edstrom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michelle Edstrom enrolled in Medicare?

Yes. Michelle Edstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Edstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Edstrom reassigns Medicare benefits to Multicare Health System (Gig Harbor, WA). The 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 Michelle Edstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Edstrom accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michelle Edstrom 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 Michelle Edstrom was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.