PPM WASHINGTON LLC
NPI 1568119204
Clinic/Center - Multi-Specialty in Clarkston, WA
About Ppm Washington Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PPM WASHINGTON LLC (NPI 1568119204) is a healthcare organization registered as a multi-specialty in Clarkston, Washington and active in the NPI registry since March 2022. The organization lists Amber L Tueller, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ppm Washington Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Ppm Washington LLC, 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 (8)
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 Ppm Washington LLC's NPI number?
The NPI number for Ppm Washington LLC is 1568119204. It was assigned to this organization in the NPPES registry on March 2, 2022.
Where is Ppm Washington LLC located?
Ppm Washington LLC is located at 1370 Bridge St, Clarkston, WA 99403. The listed phone number is (208) 401-1400.
What is Ppm Washington LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Ppm Washington LLC enrolled in Medicare?
Yes. Ppm Washington LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ppm Washington LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ppm Washington LLC. 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 Ppm Washington LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Ppm Washington Llc · NPI 1568119204
Multi-Specialty organization in Clarkston, Washington. Organization record, active in the CMS NPPES registry since March 2, 2022.
## Identity
- **NPI:** 1568119204 (Entity type: Organization)
- **Enumerated:** March 2, 2022
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Amber Tueller, SECRETARY
## Practice location
- **Address:** 1370 BRIDGE ST, Clarkston, WA 99403-2332
- **Phone:** (208) 401-1400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1568119204) · Data from the CMS NPPES public registry.