EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA
NPI 1346493806
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Enumclaw, WA

Active since October 28, 2008
1427 JEFFERSON AVE, ENUMCLAW, WA 98022(360) 825-4466(360) 825-2064 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa NPPES

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

EAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA (NPI 1346493806) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Enumclaw, Washington and active in the NPI registry since October 2008. The organization maintains a secondary practice location in Bonney Lake and lists Nancy A Becker, President, as its authorized official.

NPPES Registry Identity

NPI1346493806
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameEAR NOSE THROAT FACIAL PLASTIC SURGERY AND ALLERGY OF WESTERN WA
Location Address1427 JEFFERSON AVEEnumclaw, WA 98022-3613
Mailing Address1427 Jefferson Ave Ste 101Enumclaw, WA 98022-3649 · (360) 825-4466 · Fax (360) 825-2064
Fax(360) 825-2064
Organization SubpartNo
Authorized OfficialNancy A BeckerPresident · (360) 825-4466
Enumeration DateOctober 28, 2008
Last NPPES UpdateJanuary 8, 20192 updates tracked since enumeration
✔ NPI 1346493806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in WA · OP00001317
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedOtolaryngologyTaxonomy 207Y00000X
1427 JEFFERSON AVE, Enumclaw, WA 98022

Secondary Practice Location 1

Location 18804 Main St EBonney Lake, WA 98391-8985 · Phone (253) 750-0747 · Fax (253) 750-4694

Other Identifiers 1

Medicaid7144611WA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1831912237
1427 JEFFERSON AVE STE 101
Enumclaw, WA 98022
(360) 262-7660
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1679582654
1427 JEFFERSON AVE SUITE 101
Enumclaw, WA 98022
(360) 825-4466
✔ PECOS✔ Accepts MedicareSame address

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 Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa's NPI number?

The NPI number for Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa is 1346493806. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa located?

Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa is located at 1427 Jefferson Ave, Enumclaw, WA 98022. The listed phone number is (360) 825-4466.

What is Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa enrolled in Medicare?

Yes. Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa, in Nurse Practitioner and Otolaryngology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa 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 Ear Nose Throat Facial Plastic Surgery And Allergy Of Western Wa was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.