SNOQUALMIE VALLEY CLINIC, PLLC
NPI 1457492936
Family Medicine in Issaquah, WA
About Snoqualmie Valley Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SNOQUALMIE VALLEY CLINIC, PLLC (NPI 1457492936) is a healthcare organization registered as a family medicine in Issaquah, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Sheri Moklebust, Clinic Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Snoqualmie Valley Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Snoqualmie Valley Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 for Provider-Performed Microscopy Procedures (PPMP) 50D0630978
Snoqualmie Valley Clinic · Issaquah, 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 Snoqualmie Valley Clinic, PLLC's NPI number?
The NPI number for Snoqualmie Valley Clinic, PLLC is 1457492936. It was assigned to this organization in the NPPES registry on February 9, 2007.
Where is Snoqualmie Valley Clinic, PLLC located?
Snoqualmie Valley Clinic, PLLC is located at 450 NW Gilman Blvd Ste 203, Issaquah, WA 98027. The listed phone number is (425) 888-2299.
What is Snoqualmie Valley Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Snoqualmie Valley Clinic, PLLC enrolled in Medicare?
Yes. Snoqualmie Valley Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Snoqualmie Valley Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Snoqualmie Valley Clinic, PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Snoqualmie Valley Clinic, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0630978) 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 Snoqualmie Valley Clinic, PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Snoqualmie Valley Clinic, 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 Snoqualmie Valley Clinic, PLLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Snoqualmie Valley Clinic, Pllc · NPI 1457492936
Family Medicine organization in Issaquah, Washington. Organization record, active in the CMS NPPES registry since February 9, 2007.
## Identity
- **NPI:** 1457492936 (Entity type: Organization)
- **Enumerated:** February 9, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sheri Moklebust, CLINIC MANAGER
## Practice location
- **Address:** 450 NW GILMAN BLVD STE 203, Issaquah, WA 98027-2483
- **Phone:** (425) 888-2299 · **Fax:** (425) 888-1204
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2026
- **Other identifiers:** Medicaid 7020753 (WA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457492936) · Data from the CMS NPPES public registry.