IMPACT PHYSICIAN GROUP, WASHINGTON LLC
NPI 1457008971
Internal Medicine in Vancouver, WA
About Impact Physician Group, Washington Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT PHYSICIAN GROUP, WASHINGTON LLC (NPI 1457008971) is a healthcare organization registered as an internal medicine in Vancouver, Washington and active in the NPI registry since March 2022. The organization lists Paul Miller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 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)
Impact Physician Group, Washington Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Impact Physician Group, Washington LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
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 Impact Physician Group, Washington LLC's NPI number?
The NPI number for Impact Physician Group, Washington LLC is 1457008971. It was assigned to this organization in the NPPES registry on March 4, 2022.
Where is Impact Physician Group, Washington LLC located?
Impact Physician Group, Washington LLC is located at 2805 NE 129th St, Vancouver, WA 98686. The listed phone number is (360) 356-1890.
What is Impact Physician Group, Washington LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Impact Physician Group, Washington LLC enrolled in Medicare?
Yes. Impact Physician Group, Washington LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physician Group, Washington LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Impact Physician Group, Washington LLC. 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 Internal Medicine (5), Nurse Practitioner (4) and Hospitalist (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Impact Physician Group, Washington LLC accept?
Health plans from Providence Health Plan list Impact Physician Group, Washington LLC 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 Impact Physician Group, Washington LLC was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Impact Physician Group, Washington Llc · NPI 1457008971
Internal Medicine organization in Vancouver, Washington. Organization record, active in the CMS NPPES registry since March 4, 2022.
## Identity
- **NPI:** 1457008971 (Entity type: Organization)
- **Enumerated:** March 4, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Paul Miller, CEO
## Practice location
- **Address:** 2805 NE 129TH ST, Vancouver, WA 98686-3324
- **Phone:** (360) 356-1890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (5), Nurse Practitioner (4), Hospitalist (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457008971) · Data from the CMS NPPES public registry.