WHIDBEY MEDICAL CLINIC PLLC
NPI 1548260177
Clinic/Center in Oak Harbor, WA
About Whidbey Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHIDBEY MEDICAL CLINIC PLLC (NPI 1548260177) is a healthcare organization registered as a clinic/center in Oak Harbor, Washington and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Robert L Lycksell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
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)
Whidbey Medical 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 Whidbey Medical 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)
Oak Harbor, WA 98277
Oak Harbor, WA 98277
Bakersfield, CA 93309
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) 50D0882365
Whidbey Medical Clinic · Oak Harbor, 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 Whidbey Medical Clinic PLLC's NPI number?
The NPI number for Whidbey Medical Clinic PLLC is 1548260177. It was assigned to this organization in the NPPES registry on July 26, 2005.
Where is Whidbey Medical Clinic PLLC located?
Whidbey Medical Clinic PLLC is located at 231 SE Barrington Dr Suite 209, Oak Harbor, WA 98277. The listed phone number is (360) 679-3161.
What is Whidbey Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Whidbey Medical Clinic PLLC enrolled in Medicare?
Yes. Whidbey Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Whidbey Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Whidbey Medical Clinic PLLC, in Family Practice and Internal Medicine. 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 Whidbey Medical Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0882365) 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 Whidbey Medical Clinic PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Whidbey Medical 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 Whidbey Medical Clinic PLLC was last updated on December 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Whidbey Medical Clinic Pllc · NPI 1548260177
Clinic/Center organization in Oak Harbor, Washington. Organization record, active in the CMS NPPES registry since July 26, 2005.
## Identity
- **NPI:** 1548260177 (Entity type: Organization)
- **Enumerated:** July 26, 2005
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Robert Lycksell, OWNER
## Practice location
- **Address:** 231 SE BARRINGTON DR, SUITE 209, Oak Harbor, WA 98277-3200
- **Phone:** (360) 679-3161 · **Fax:** (360) 679-1741
## 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), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2009
- **Other identifiers:** Other CC9056 (WA); Other S57923 (WA); Medicare PIN G001148100 (WA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548260177) · Data from the CMS NPPES public registry.