NORTHSHORE HEALTH PLLC
NPI 1508692369
Preventive Medicine - Addiction Medicine in Bothell, WA

Active since September 10, 2024
12900 NE 180TH ST, BOTHELL, WA 98011(425) 424-2100 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2025, Sep 10, 2024 (2 updates tracked since 2024).

About Northshore Health Pllc NPPES

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

NORTHSHORE HEALTH PLLC (NPI 1508692369) is a healthcare organization registered as an addiction medicine in Bothell, Washington and active in the NPI registry since September 2024. The organization lists Ananda Usman, Owner, as its authorized official.

NPPES Registry Identity

NPI1508692369
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameNORTHSHORE HEALTH PLLC
Location Address12900 NE 180TH STBothell, WA 98011-5773
Mailing AddressPo Box 5824Belfast, ME 04915-5800
Organization SubpartNo
Authorized OfficialAnanda UsmanOwner · (425) 424-2100
Enumeration DateSeptember 10, 2024
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1508692369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
12900 NE 180TH ST, Bothell, WA 98011

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northshore Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Northshore Health PLLC, 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 (3)

Nurse Practitioner
NPI 1801291935
12900 NE 180TH ST STE 100
Bothell, WA 98011
(425) 424-2100
✔ PECOS✔ Accepts MedicareSame address
Addiction Medicine
NPI 1730128893
1135 116TH AVE NE #500
Bellevue, WA 98004
(425) 454-3938
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1689342065
9930 EVERGREEN WAY STE Z150
Everett, WA 98204
(425) 347-5121
✔ PECOS✔ Accepts Medicare11 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 Northshore Health PLLC's NPI number?

The NPI number for Northshore Health PLLC is 1508692369. It was assigned to this organization in the NPPES registry on September 10, 2024.

Where is Northshore Health PLLC located?

Northshore Health PLLC is located at 12900 NE 180th St, Bothell, WA 98011. The listed phone number is (425) 424-2100.

What is Northshore Health PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Northshore Health PLLC enrolled in Medicare?

Yes. Northshore Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northshore Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northshore Health PLLC, in Addiction Medicine 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northshore Health PLLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.