NISQUALLY INDIAN TRIBE
NPI 1477745925
Clinic/Center in Olympia, WA

Active since August 17, 2007
4840 JOURNEY ST SE, OLYMPIA, WA 98513(360) 459-5312(360) 407-0860 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Nisqually Indian Tribe NPPES

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

NISQUALLY INDIAN TRIBE (NPI 1477745925) is a healthcare organization registered as a clinic/center in Olympia, Washington and active in the NPI registry since August 2007. The organization lists Michael Christensen, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1477745925
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNISQUALLY INDIAN TRIBE
Location Address4840 JOURNEY ST SEOlympia, WA 98513-6779
Mailing Address4840 Journey St SeOlympia, WA 98513-6779 · (360) 459-5312 · Fax (360) 407-0860
Fax(360) 407-0860
Organization SubpartNo
Authorized OfficialMichael ChristensenClinic Administrator · (360) 459-5312
Enumeration DateAugust 17, 2007
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1477745925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4840 JOURNEY ST SE, Olympia, WA 98513

Other Identifiers 1

Medicaid7230055WA

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)

Nisqually Indian Tribe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Nisqually Indian Tribe, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1740814896
4840 JOURNEY ST SE
Olympia, WA 98513
(360) 459-5312
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295887461
4816 SHE NAH NUM DR SE
Olympia, WA 98513
(360) 459-5312
✔ PECOS✔ Accepts Medicare0.3 mi
Osteopathic Manipulative Medicine
NPI 1659745867
3920 CAPITAL MALL DR SW STE 200
Olympia, WA 98502
(360) 596-4899
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1679762165
1742 MARKET ST STE. 102
Tacoma, WA 98402
(253) 692-5811
✔ PECOS20 mi
Family Practice
NPI 1215934054
4060 E STEVENS WAY NE
Seattle, WA 98195
(206) 520-5000
✔ PECOS48 mi

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 Nisqually Indian Tribe's NPI number?

The NPI number for Nisqually Indian Tribe is 1477745925. It was assigned to this organization in the NPPES registry on August 17, 2007.

Where is Nisqually Indian Tribe located?

Nisqually Indian Tribe is located at 4840 Journey St SE, Olympia, WA 98513. The listed phone number is (360) 459-5312.

What is Nisqually Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Nisqually Indian Tribe enrolled in Medicare?

Yes. Nisqually Indian Tribe is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nisqually Indian Tribe?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Nisqually Indian Tribe. 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 (3), Family Practice (1) and Osteopathic Manipulative Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nisqually Indian Tribe accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Nisqually Indian Tribe 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 Nisqually Indian Tribe was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.