REJUVENATION MEDICAL PLLC
NPI 1447712559
Family Medicine in Edgewood, WA
About Rejuvenation Medical Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REJUVENATION MEDICAL PLLC (NPI 1447712559) is a healthcare organization registered as a family medicine in Edgewood, Washington and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Joshua B Kretchmar, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Rejuvenation Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Rejuvenation Medical PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (19)
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 50D2338019
Rejuvenation Medical · Edgewood, WAFrequently 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 Rejuvenation Medical PLLC's NPI number?
The NPI number for Rejuvenation Medical PLLC is 1447712559. It was assigned to this organization in the NPPES registry on April 5, 2019.
Where is Rejuvenation Medical PLLC located?
Rejuvenation Medical PLLC is located at 2222 Meridian Ave E Ste A, Edgewood, WA 98371. The listed phone number is (206) 407-4171.
What is Rejuvenation Medical PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rejuvenation Medical PLLC enrolled in Medicare?
Yes. Rejuvenation Medical PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rejuvenation Medical PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to Rejuvenation Medical PLLC. 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 Nurse Practitioner (11), Family Practice (5) and Geriatric Medicine (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rejuvenation Medical PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2338019) 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 Rejuvenation Medical PLLC accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Rejuvenation Medical PLLC 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 Rejuvenation Medical PLLC was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Rejuvenation Medical Pllc · NPI 1447712559
Family Medicine organization in Edgewood, Washington. Organization record, active in the CMS NPPES registry since April 5, 2019.
## Identity
- **NPI:** 1447712559 (Entity type: Organization)
- **Enumerated:** April 5, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Joshua Kretchmar, MEDICAL DIRECTOR
## Practice location
- **Address:** 2222 MERIDIAN AVE E STE A, Edgewood, WA 98371-1032
- **Phone:** (206) 407-4171 · **Fax:** (253) 294-7069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (5), Geriatric Medicine (2); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2026
- **Other identifiers:** Other OP60765453 (WA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447712559) · Data from the CMS NPPES public registry.