PROVIDENCE HEALTH & SERVICES-WASHINGTON
NPI 1508000449
Internal Medicine - Cardiovascular Disease in Everett, WA

Active since April 22, 2009
12800 BOTHELL EVERETT HWY, SUITE 160, EVERETT, WA 98208(425) 316-5490(425) 225-1002 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2025, Mar 21, 2025, Apr 1, 2021 (3 updates tracked since 2021).

About Providence Health & Services-washington NPPES

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

PROVIDENCE HEALTH & SERVICES-WASHINGTON (NPI 1508000449), doing business as Pmg Nw Wa Cardiology, is a healthcare organization registered as a cardiovascular disease in Everett, Washington and active in the NPI registry since April 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1508000449
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES-WASHINGTON
Location Address12800 BOTHELL EVERETT HWY, SUITE 160Everett, WA 98208-6644
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Fax(425) 225-1002
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 22, 2009
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1508000449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
12800 BOTHELL EVERETT HWY, Everett, WA 98208

Other Names 2

Doing Business AsPmg Nw Wa Cardiology
Doing Business AsProvidence Physician Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Providence Health & Services-washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

702

Medicare enrollment records show 702 clinicians reassign Medicare billing to Providence Health & Services-Washington, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 363 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner108
Internal Medicine90
Family Practice63
Emergency Medicine61
Neurology56
Hospitalist35
General Surgery29
Cardiovascular Disease (Cardiology)24
41 other specialties236

Nearest to this location (20)

See all 702
Nurse Practitioner
NPI 1699056036
12800 BOTHELL-EVERETT HWY SUITE 180
Everett, WA 98208
(425) 316-5130
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1669430146
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5130
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1467553529
12800 BOTHELL EVERETT HWY SUITE 190
Everett, WA 98208
(425) 316-5160
✔ PECOSSame address
Pediatric Medicine
NPI 1346341377
12800 BOTHELL EVERETT HWY SUITE 190
Everett, WA 98208
(425) 316-5160
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518269059
12800 BOTHELL EVERETT HWY SUITE 260
Everett, WA 98208
(425) 316-5080
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1679680441
12800 BOTHELL EVERETT HWY SUITE 260
Everett, WA 98208
(425) 316-5080
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1194470013
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5062
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1124129648
12800 BOTHELL EVERETT HWY SUITE 190
Everett, WA 98208
(425) 316-5160
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1285876185
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5080
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235160474
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5150
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922503366
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5180
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235399809
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5180
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992858377
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5150
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1992814651
12800 BOTHELL EVERETT HWY SUITE 260
Everett, WA 98208
(425) 316-5080
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1003105867
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5100
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1477965507
12800 BOTHELL EVERETT HWY STE 250
Everett, WA 98208
(425) 316-5440
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1497819718
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5062
✔ PECOSSame address
Pediatric Medicine
NPI 1689092264
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5160
✔ PECOSSame address
Pediatric Medicine
NPI 1154412955
12800 BOTHELL EVERETT HWY SUITE 190
Everett, WA 98208
(425) 316-5160
✔ PECOSSame address
Internal Medicine
NPI 1790790582
12800 BOTHELL EVERETT HWY SUITE 180
Everett, WA 98208
(425) 316-5130
✔ PECOS✔ Accepts MedicareSame address
See all 702 clinicians

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 Providence Health & Services-Washington's NPI number?

The NPI number for Providence Health & Services-Washington is 1508000449. It was assigned to this organization in the NPPES registry on April 22, 2009. The provider is doing business as PMG NW WA Cardiology and Providence Physician Group.

Where is Providence Health & Services-Washington located?

Providence Health & Services-Washington is located at 12800 Bothell Everett Hwy Suite 160, Everett, WA 98208. The listed phone number is (425) 316-5490.

What is Providence Health & Services-Washington's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Providence Health & Services-Washington enrolled in Medicare?

Yes. Providence Health & Services-Washington is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services-Washington?

According to the CMS Revalidation Reassignment List (October 2026 release), 702 clinicians in 49 Medicare specialties reassign their Medicare billing to Providence Health & Services-Washington. 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 (108), Internal Medicine (90) and Family Practice (63). Of these, 21 practice at this address and 363 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services-Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services-Washington 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 Providence Health & Services-Washington was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.