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PROLIANCE SKAGIT NORTHWEST ORTHOPEDIC SURGERY CENTER
NPI 1437105368
Clinic/Center - Ambulatory Surgical in Mount Vernon, WA

Active since May 25, 2006CLIA 50D1091792 · Waiver
1401 S LAVENTURE RD, MOUNT VERNON, WA 98274(360) 424-7041(360) 424-2418 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2024, Dec 6, 2023, May 27, 2021 (3 updates tracked since 2021).

About Proliance Skagit Northwest Orthopedic Surgery Center NPPES

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

PROLIANCE SKAGIT NORTHWEST ORTHOPEDIC SURGERY CENTER (NPI 1437105368) is a healthcare organization registered as an ambulatory surgical in Mount Vernon, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Cori M. Pleasant, Del Cred & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1437105368
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePROLIANCE SURGEONS INC P S
Location Address1401 S LAVENTURE RDMount Vernon, WA 98274-6033
Mailing Address1401 S Laventure RdMount Vernon, WA 98274-6033 · (360) 424-7041 · Fax (360) 424-2418
Phone(360) 424-7041
Fax(360) 424-2418
Organization SubpartNo
Authorized OfficialCori M. PleasantDel Cred & Enrollment Manager · (206) 838-2585
Enumeration DateMay 25, 2006
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1437105368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in WA · 601484763
1401 S LAVENTURE RD, Mount Vernon, WA 98274
Open in Google Maps ↗

Other Names 2

Doing Business AsProliance Skagit Northwest Orthopedic Surgery Center
Other NameSkagit Northwest Orthopedic Asc At Laventure (fka)

Other Identifiers 2

Medicaid1044177WA
Other173752WA · Wa Labor & Industries

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Proliance Skagit Northwest Orthopedic Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

589

Medicare enrollment records show 589 clinicians reassign Medicare billing to Proliance Skagit Northwest Orthopedic Surgery Center, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Orthopedic Surgery169
Physical Therapist in Private Practice97
Diagnostic Radiology64
Otolaryngology52
Occupational Therapist in Private Practice38
Qualified Audiologist26
Nurse Practitioner23
Obstetrics/Gynecology20
19 other specialties100

Nearest to this location (20)

See all 589
Kimberly Miller, MPT
Physical Therapist in Private Practice
NPI 1104075621
1401 S LAVENTURE RD
Mount Vernon, WA 98274
(360) 424-2400
✔ Accepts MedicareSame address
Brett Nelson, P.T.
Physical Therapist in Private Practice
NPI 1114926466
1401 S LAVENTURE RD
Mount Vernon, WA 98274
(360) 424-2400
✔ Accepts MedicareSame address
Jimmy Cui, M.D.
Physical Medicine and Rehabilitation
NPI 1720057342
1401 S LAVENTURE RD
Mount Vernon, WA 98274
(360) 424-2400
✔ PECOSSame address
Daniel Hanesworth, M.D.
Orthopedic Surgery
NPI 1619946910
1401 S LAVENTURE RD
Mount Vernon, WA 98274
(360) 424-2400
✔ PECOSSame address
Dawei Lu, MD
Orthopedic Surgery
NPI 1366598963
1401 S LAVENTURE RD
Mount Vernon, WA 98274
(360) 424-2400
✔ PECOSSame address
Kenneth Oates, M.D.
Orthopedic Surgery
NPI 1962401208
1401 S LAVENTURE RD
Mount Vernon, WA 98274
(360) 424-2400
✔ PECOSSame address
Curtis Rodin, M.D.
Orthopedic Surgery
NPI 1659330876
1401 S LAVENTURE RD
Mount Vernon, WA 98274
(360) 424-2400
✔ PECOSSame address
Eric Powell, DPM
Podiatry
NPI 1053623983
1400 E KINCAID ST
Mount Vernon, WA 98274
(360) 848-4120
✔ PECOS✔ Accepts Medicare0.6 mi
Cindy Bullock, DPM
Podiatry
NPI 1598770927
211 S 13TH ST
Mount Vernon, WA 98274
(360) 424-7041
✔ PECOS✔ Accepts Medicare0.8 mi
Michael Santoro, MD, MPH
General Practice
NPI 1437247475
211 S 13TH ST
Mount Vernon, WA 98274
(360) 424-7041
✔ PECOS✔ Accepts Medicare0.8 mi
Mallorie Smith, AUD
Qualified Audiologist
NPI 1073864997
111 S 13TH ST
Mount Vernon, WA 98274
(360) 336-2178
✔ Accepts Medicare0.8 mi
Gary Brown, M.D.
Otolaryngology
NPI 1295706752
118 S 12TH ST
Mount Vernon, WA 98274
(360) 336-2178
✔ PECOS0.8 mi
James Gross, M.D.
Otolaryngology
NPI 1023082203
118 S 12TH ST
Mount Vernon, WA 98274
(360) 336-2178
✔ PECOS✔ Accepts Medicare0.8 mi
Gary Johnson, M.D.
Otolaryngology
NPI 1437129186
118 S 12TH ST
Mount Vernon, WA 98274
(360) 336-2178
✔ PECOS✔ Accepts Medicare0.8 mi
Terry Hergesheimer, CCC-A
Qualified Audiologist
NPI 1518141282
111 S 13TH ST
Mount Vernon, WA 98274
(360) 336-2178
✔ Accepts Medicare0.8 mi
Camille Connelly, M.D.
Orthopedic Surgery
NPI 1194024448
901 S 5TH ST
Mount Vernon, WA 98274
(360) 424-7041
✔ PECOS✔ Accepts Medicare1.0 mi
Jonathan Shafer, M.D.
Orthopedic Surgery
NPI 1861690257
901 S 5TH ST
Mount Vernon, WA 98274
(360) 424-7041
✔ PECOS✔ Accepts Medicare1.0 mi
Stacia Smith, M.D.
Orthopedic Surgery
NPI 1295734499
901 S 5TH ST
Mount Vernon, WA 98274
(360) 424-7041
✔ PECOS✔ Accepts Medicare1.0 mi
Marcus Flexer, DPT
Physical Therapist in Private Practice
NPI 1780832170
1500 CONTINENTAL PL
Mount Vernon, WA 98273
(360) 424-7041
1.7 mi
David Mourning, M.D.
Orthopedic Surgery
NPI 1033150420
2320 FREEWAY DR
Mount Vernon, WA 98273
(360) 814-6800
✔ PECOS✔ Accepts Medicare2.5 mi
See all 589 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

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 50D1091792

Proliance Skagit Northwest Orthopedic Surgery Center · Mount Vernon, WA
Active · expires Apr 4, 2028
CLIA Number50D1091792
Laboratory TypeAmbulance
Certificate Effective DateNovember 10, 2008
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCamille Connelly
Laboratory Phone(360) 424-2400
Laboratory LocationProliance Skagit Northwest Orthopedic Surgery Center1401 S Laventure Rd, Mount Vernon, WA 98274
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
22,344 services79 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
236 services170 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
147 services66 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
104 services86 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
75 services72 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
72 services43 patients

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 1437105368. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Proliance Skagit Northwest Orthopedic Surgery Center. The provider is also known as Skagit Northwest Orthopedic ASC at LaVenture (FKA).

Where is Proliance Surgeons Inc P S located?

Proliance Surgeons Inc P S is located at 1401 S Laventure Rd, Mount Vernon, WA 98274. The listed phone number is (360) 424-7041.

What is Proliance Surgeons Inc P S's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Proliance Surgeons Inc P S enrolled in Medicare?

Yes. Proliance Surgeons Inc P S is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proliance Surgeons Inc P S?

According to the CMS Revalidation Reassignment List (October 2026 release), 589 clinicians in 27 Medicare specialties reassign their Medicare billing to Proliance Surgeons Inc P S. 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 Orthopedic Surgery (169), Physical Therapist in Private Practice (97) and Diagnostic Radiology (64). Of these, 7 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Proliance Surgeons Inc P S hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1091792) 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 Proliance Surgeons Inc P S accept?

Health plans from Providence Health Plan 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 September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.