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MERCER ISLAND PEDIATRIC ASSOCIATES
NPI 1336349422
Pediatrics in Mercer Island, WA

Active since July 18, 2007CLIA 50D0986147 · Waiver
2553 76TH AVE SE, MERCER ISLAND, WA 98040(206) 275-2122(206) 275-0869 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mercer Island Pediatric Associates NPPES

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

MERCER ISLAND PEDIATRIC ASSOCIATES (NPI 1336349422) is a healthcare organization registered as a pediatrics in Mercer Island, Washington and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Julie Ellner, Director, as its authorized official.

NPPES Registry Identity

NPI1336349422
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMERCER ISLAND PEDIATRIC ASSOCIATES
Location Address2553 76TH AVE SEMercer Island, WA 98040-2758
Mailing Address2553 76th Ave SeMercer Island, WA 98040-2758 · (206) 275-2122 · Fax (206) 275-0869
Phone(206) 275-2122
Fax(206) 275-0869
Organization SubpartNo
Authorized OfficialJulie EllnerDirector · (206) 329-7512
Enumeration DateJuly 18, 2007
✔ NPI 1336349422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD30804
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.
2553 76TH AVE SE, Mercer Island, WA 98040
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Other Identifiers 2

Medicare UPINF35634WA
Medicaid1082056WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 of Waiver 50D0986147

Mercer Island Pediatric Associates Inc · Mercer Island, WA
Active · expires Apr 4, 2028
CLIA Number50D0986147
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2002
Certificate Expiration DateApril 4, 2028
Laboratory DirectorHal C. Quinn MD Mt Ascp
Laboratory Phone(206) 275-2122
Laboratory LocationMercer Island Pediatric Associates Inc9675 SE 36 St, Ste 100, Mercer Island, WA 98040
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. HAL COOPER QUINN MD
Pediatrics
2553 76TH AVE SE
MERCER ISLAND, WA 98040
King County (206) 275-2122
DR. DANETTE SWANSON GLASSY MD
Pediatrics (Adolescent Medicine)
2553 76TH AVE SE
MERCER ISLAND, WA 98040
King County (206) 275-2122
DR. JOHN GERARD SCHREUDER MD
Pediatrics
2553 76TH AVE SE
MERCER ISLAND, WA 98040
King County (206) 275-2122
DR. THEODORE DUNGAN MANDELKORN MD
Pediatrics (Developmental - Behavioral Pediatrics)
2553 76TH AVE SE
MERCER ISLAND, WA 98040
King County (206) 275-0702

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 Mercer Island Pediatric Associates's NPI number?

The NPI number for Mercer Island Pediatric Associates is 1336349422. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is Mercer Island Pediatric Associates located?

Mercer Island Pediatric Associates is located at 2553 76th Ave SE, Mercer Island, WA 98040. The listed phone number is (206) 275-2122.

What is Mercer Island Pediatric Associates's specialty?

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

Does Mercer Island Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0986147) 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 Mercer Island Pediatric Associates accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mercer Island Pediatric Associates 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 Mercer Island Pediatric Associates was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.