OLYMPIA MULTI SPECIALTY CLINIC
NPI 1356386783
Specialist in Olympia, WA

Active since June 19, 2006CLIA Certified · 2 labs
406 BLACK HILLS LN SW, OLYMPIA, WA 98502(360) 704-3450(360) 754-1783 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Olympia Multi Specialty Clinic NPPES

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

OLYMPIA MULTI SPECIALTY CLINIC (NPI 1356386783) is a healthcare organization registered as a specialist in Olympia, Washington and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Mary Ann Mccabe, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356386783
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOLYMPIA MULTI SPECIALTY CLINIC
Location Address406 BLACK HILLS LN SWOlympia, WA 98502-8143
Mailing Address406 Black Hills Ln SwOlympia, WA 98502-8144 · (360) 704-3450 · Fax (360) 754-1783
Fax(360) 754-1783
Organization SubpartNo
Authorized OfficialMary Ann MccabeCfo · (360) 704-3450
Enumeration DateJune 19, 2006
Last NPPES UpdateJanuary 27, 2009
✔ NPI 1356386783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · 0517888
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
406 BLACK HILLS LN SW, Olympia, WA 98502

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Olympia Multi Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Olympia Multi Specialty Clinic, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Certified Registered Nurse Anesthetist (CRNA)14
Gastroenterology6
Cardiovascular Disease (Cardiology)5
Pathology3
Nurse Practitioner2
Neurology1
Registered Dietitian or Nutrition Professional1
Sleep Medicine1

Nearest to this location (20)

See all 33
Gastroenterology
NPI 1982600961
406 BLACK HILLS LN SW STE A
Olympia, WA 98502
(360) 754-1735
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1831191162
406 BLACK HILLS LN SW STE A
Olympia, WA 98502
(360) 754-1735
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1568890408
406 BLACK HILLS LN SW STE A
Olympia, WA 98502
(360) 704-3400
✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1679884993
406-A BLACK HILLS LN SW
Olympia, WA 98502
(360) 754-1737
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1164530606
406-A BLACK HILLS LN SW
Olympia, WA 98502
(360) 754-1737
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1609081330
406 BLACK HILLS LN SW STE A
Olympia, WA 98502
(360) 754-1737
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1497897771
406A BLACK HILLS LN SW
Olympia, WA 98502
(360) 754-1735
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1386841849
406-A BLACK HILLS LN SW
Olympia, WA 98502
(360) 236-1451
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1447514302
406 BLACK HILLS LN SW STE A
Olympia, WA 98502
(360) 754-1735
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275006033
406 BLACK HILLS LN SW STE A
Olympia, WA 98502
(360) 754-1735
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1780753129
406 BLACK HILLS LN SW STE A
Olympia, WA 98502
(360) 754-0287
✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1295153880
406 BLACK HILLS LN SW
Olympia, WA 98502
(360) 754-1735
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1851684765
406 BLACK HILLS LN SW STE A
Olympia, WA 98502
(360) 754-1735
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386365963
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 754-5858
✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255140133
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 754-5858
✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508674516
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 754-5858
✔ Accepts Medicare0.2 mi
Pathology
NPI 1245289560
209 LILLY RD NE
Olympia, WA 98506
(360) 413-8250
✔ PECOS✔ Accepts Medicare5.0 mi
Gastroenterology
NPI 1114317492
9040 JACKSON AVE
Tacoma, WA 98431
(253) 968-1040
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1851069538
MADIAGN ARMY MEDICAL CENTER 9040 JACKSON AVENUE
Tacoma, WA 98431
(865) 567-3530
✔ PECOS✔ Accepts Medicare19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972780294
11315 BRIDGEPORT WAY SW
Lakewood, WA 98499
(253) 985-6403
✔ Accepts Medicare22 mi
See all 33 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 2

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 Compliance 50D0917433

Olympia Multi Specialty Clinic · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D0917433
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2009
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMin-Guang Wang
Laboratory Phone(360) 704-3450
Laboratory LocationOlympia Multi Specialty Clinic406 Black Hills Lane SW Ste A, Olympia, WA 98502
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 50D0917096

Olympia Multi-Specialty Clinic Apc · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D0917096
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 9, 1996
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMarshall III E. Mccabe
Laboratory Phone(360) 754-0287
Laboratory LocationOlympia Multi-Specialty Clinic Apc3920 Capital Mall Drive SW Suite 300, Olympia, WA 98502
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Olympia Multi Specialty Clinic's NPI number?

The NPI number for Olympia Multi Specialty Clinic is 1356386783. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Olympia Multi Specialty Clinic located?

Olympia Multi Specialty Clinic is located at 406 Black Hills Ln SW, Olympia, WA 98502. The listed phone number is (360) 704-3450.

What is Olympia Multi Specialty Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Olympia Multi Specialty Clinic enrolled in Medicare?

Yes. Olympia Multi Specialty Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olympia Multi Specialty Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 8 Medicare specialties reassign their Medicare billing to Olympia Multi Specialty Clinic. 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 Certified Registered Nurse Anesthetist (CRNA) (14), Gastroenterology (6) and Cardiovascular Disease (Cardiology) (5). Of these, 13 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Olympia Multi Specialty Clinic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Olympia Multi Specialty Clinic accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Olympia Multi Specialty Clinic 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 Olympia Multi Specialty Clinic was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.