DISRUPTION HEALTHCARE PLLC
NPI 1316715295
Family Medicine in Richland, WA
About Disruption Healthcare Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DISRUPTION HEALTHCARE PLLC (NPI 1316715295), doing business as Complex Care Center Pllc, is a healthcare organization registered as a family medicine in Richland, Washington and active in the NPI registry since December 2023. The organization maintains a secondary practice location in Richland and lists Joseph Gaytan, Director Of Revenue, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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)
Disruption Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Disruption Healthcare PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Pasco, WA 99301
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 Disruption Healthcare PLLC's NPI number?
The NPI number for Disruption Healthcare PLLC is 1316715295. It was assigned to this organization in the NPPES registry on December 19, 2023. The provider is doing business as Complex Care Center PLLC.
Where is Disruption Healthcare PLLC located?
Disruption Healthcare PLLC is located at 969 Stevens Dr Ste 3A, Richland, WA 99352. The listed phone number is (509) 713-1315.
What is Disruption Healthcare PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Disruption Healthcare PLLC enrolled in Medicare?
Yes. Disruption Healthcare PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Disruption Healthcare PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Disruption Healthcare PLLC. 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 (4) and Family Practice (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Disruption Healthcare PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Disruption Healthcare PLLC 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 Disruption Healthcare PLLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.
# Disruption Healthcare Pllc · NPI 1316715295
Family Medicine organization in Richland, Washington. Organization record, active in the CMS NPPES registry since December 19, 2023.
## Identity
- **NPI:** 1316715295 (Entity type: Organization)
- **Enumerated:** December 19, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Complex Care Center PLLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Joseph Gaytan, DIRECTOR OF REVENUE
## Practice location
- **Address:** 969 STEVENS DR STE 3A, Richland, WA 99352-3558
- **Phone:** (509) 713-1315
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1316715295) · Data from the CMS NPPES public registry.