PROLIANCE ORTHOPEDIC ASSOCIATES
NPI 1417512021
Orthopaedic Surgery in Auburn, WA

Active since May 08, 2019
1620 LAKE TAPPS PKWY SE STE 115, AUBURN, WA 98092(253) 246-2860(253) 246-2861 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 27, 2021, Aug 26, 2019, May 8, 2019 (3 updates tracked since 2019).

About Proliance Orthopedic Associates NPPES

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

PROLIANCE ORTHOPEDIC ASSOCIATES (NPI 1417512021) is a healthcare organization registered as an orthopaedic surgery in Auburn, Washington and active in the NPI registry since May 2019. The organization lists Laura Kleisle, Chief Risk Officer, as its authorized official.

NPPES Registry Identity

NPI1417512021
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePROLIANCE SURGEONS, INC., P.S.
Location Address1620 LAKE TAPPS PKWY SE STE 115Auburn, WA 98092-8376
Mailing Address4011 Talbot Rd S Ste 300Renton, WA 98055-5791 · (425) 656-5060 · Fax (425) 656-5047
Fax(253) 246-2861
Organization SubpartNo
Authorized OfficialLaura KleisleChief Risk Officer · (206) 838-2590
Enumeration DateMay 8, 2019
Last NPPES UpdateMay 27, 20213 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
NPI 1417512021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
1620 LAKE TAPPS PKWY SE STE 115, Auburn, WA 98092

Other Names 1

Doing Business AsProliance Orthopedic Associates

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

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Proliance Orthopedic Associates carries, from the Medicare DMEPOS supplier directory.

Proliance Orthopedic Associates

DMEPOS supplier · Auburn, WAOperated by Proliance Surgeons Inc P S

Accepts Medicare assignment

Proliance Orthopedic Associates agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20658203
Medicare Participant SinceJanuary 1, 1998
Supplier Location1620 Lake Tapps Pkwy SE Ste 115Auburn, WA 98092
Provider TypePhysician Assistant · Nurse Practitioner · Physician – Orthopedic/Orthopedic Surgery · Sports Medicine · Multi-Specialty - Physician

Medicare Product Categories

Traction Equipment
Traction tables, Traction machines, Inversion tables
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Physical Therapist
1620 LAKE TAPPS PKWY SE STE 115
AUBURN, WA 98092
Physician Assistant (Surgical)
1620 LAKE TAPPS PKWY SE STE 115
AUBURN, WA 98092
Nurse Practitioner (Family)
1620 LAKE TAPPS PKWY SE STE 115
AUBURN, WA 98092
Durable Medical Equipment & Medical Supplies
1620 LAKE TAPPS PKWY SE STE 115
AUBURN, WA 98092

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 Proliance Surgeons, Inc., P.S.'s NPI number?

The NPI number for Proliance Surgeons, Inc., P.S. is 1417512021. It was assigned to this organization in the NPPES registry on May 8, 2019. The provider is doing business as Proliance Orthopedic Associates.

Where is Proliance Surgeons, Inc., P.S. located?

Proliance Surgeons, Inc., P.S. is located at 1620 Lake Tapps Pkwy SE Ste 115, Auburn, WA 98092. The listed phone number is (253) 246-2860.

What is Proliance Surgeons, Inc., P.S.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Proliance Surgeons, Inc., P.S. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Proliance Orthopedic Associates accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Proliance Surgeons, Inc., P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Proliance Surgeons, Inc., P.S. 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 Proliance Surgeons, Inc., P.S. was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.