MUCKLESHOOT HEALTH AND WELLNESS CENTER
NPI 1558448175
Clinic/Center in Auburn, WA

Active since November 01, 2006
17500 SE 392ND ST, AUBURN, WA 98092(253) 939-6648(253) 887-8737 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Muckleshoot Health And Wellness Center NPPES

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

MUCKLESHOOT HEALTH AND WELLNESS CENTER (NPI 1558448175) is a healthcare organization registered as a clinic/center in Auburn, Washington and active in the NPI registry since November 2006. The organization lists Kathleen Goodwin-snyder, Health Manager, as its authorized official.

NPPES Registry Identity

NPI1558448175
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMUCKLESHOOT INDIAN TRIBE
Location Address17500 SE 392ND STAuburn, WA 98092-9705
Mailing Address17500 Se 392nd StAuburn, WA 98092-9705 · (253) 939-6648 · Fax (253) 887-8737
Fax(253) 887-8737
Organization SubpartYes
Authorized OfficialKathleen Goodwin-snyderHealth Manager · (253) 939-6648
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 11, 2017
✔ NPI 1558448175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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).
17500 SE 392ND ST, Auburn, WA 98092

Other Names 1

Doing Business AsMuckleshoot Health And Wellness Center

Other Identifiers 1

Medicare ID-Type UnspecifiedTEZ001WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Muckleshoot Health And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20060417000580Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Muckleshoot Health And Wellness Center, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 9

Family Practice7
Nurse Practitioner3
Internal Medicine2
Optometry2
Mental Health Counselor1
Osteopathic Manipulative Medicine1
Otolaryngology1
Physical Therapist in Private Practice1
1 other specialty1

Clinicians, nearest first (19)

Physical Therapist in Private Practice
NPI 1093880445
17500 SE 392ND ST
Auburn, WA 98092
(253) 939-6648
✔ Accepts MedicareSame address
Family Practice
NPI 1689621534
17500 SE 392ND ST
Auburn, WA 98092
(360) 939-6648
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1134289051
17500 SE 392ND ST
Auburn, WA 98092
(253) 939-6648
✔ PECOSSame address
Family Practice
NPI 1689102485
17500 SE 392ND ST
Auburn, WA 98092
(253) 294-8201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639890379
17500 SE 392ND ST
Auburn, WA 98092
(253) 939-6648
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1376807503
17500 SE 392ND ST
Auburn, WA 98092
(253) 294-8201
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1063815496
17500 SE 392ND ST
Auburn, WA 98092
(532) 294-8201
✔ PECOS✔ Accepts MedicareSame address
Osteopathic Manipulative Medicine
NPI 1437539616
17500 SE 392ND ST
Auburn, WA 98092
(253) 939-6648
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1205891181
17500 SE 392ND ST
Auburn, WA 98092
(253) 294-8201
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1013032028
17500 SE 392ND ST
Auburn, WA 98092
(253) 939-6648
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336137868
17500 SE 392ND ST
Auburn, WA 98092
(253) 939-6648
✔ PECOSSame address
Otolaryngology
NPI 1679582654
1427 JEFFERSON AVE SUITE 101
Enumclaw, WA 98022
(360) 825-4466
✔ PECOS✔ Accepts Medicare6.3 mi
Family Practice
NPI 1548206733
1455 BATTERSBY AVE
Enumclaw, WA 98022
(253) 426-6341
✔ PECOS✔ Accepts Medicare6.3 mi
Optometry
NPI 1902158249
10024 SE 240TH ST SUITE 220
Kent, WA 98031
(253) 852-5440
✔ PECOS✔ Accepts Medicare10 mi
Mental Health Counselor
NPI 1013352590
9330 59TH AVE SW
Lakewood, WA 98499
(253) 581-7020
✔ PECOS20 mi
Family Practice
NPI 1831776616
747 BROADWAY
Seattle, WA 98122
(206) 320-2000
✔ PECOS✔ Accepts Medicare27 mi
Optometry
NPI 1730306374
395 CASCADE MALL DR
Burlington, WA 98233
(360) 757-7750
✔ PECOS✔ Accepts Medicare84 mi
Nurse Practitioner
NPI 1902941222
220 UNITY ST
Bellingham, WA 98225
(360) 676-6177
✔ PECOS105 mi
Nurse Practitioner
NPI 1851975445
1950 W ROOSEVELT HWY
Shelby, MT 59474
(406) 434-3100
✔ PECOS✔ Accepts Medicare483 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 Muckleshoot Indian Tribe's NPI number?

The NPI number for Muckleshoot Indian Tribe is 1558448175. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Muckleshoot Health And Wellness Center.

Where is Muckleshoot Indian Tribe located?

Muckleshoot Indian Tribe is located at 17500 SE 392nd St, Auburn, WA 98092. The listed phone number is (253) 939-6648.

What is Muckleshoot Indian Tribe's specialty?

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

Is Muckleshoot Indian Tribe enrolled in Medicare?

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

When is Muckleshoot Indian Tribe's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Muckleshoot Indian Tribe?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 9 Medicare specialties reassign their Medicare billing to Muckleshoot 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 Family Practice (7), Nurse Practitioner (3) and Internal Medicine (2). Of these, 11 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Muckleshoot Indian Tribe accept?

Health plans from Anthem Blue Cross and Blue Shield and Premera Blue Cross Blue Shield of Alaska list Muckleshoot 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 Muckleshoot Indian Tribe was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.