NOOKSACK COMMUNITY CLINIC
NPI 1568528842
Family Medicine in Everson, WA
About Nooksack Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOOKSACK COMMUNITY CLINIC (NPI 1568528842) is a healthcare organization registered as a family medicine in Everson, Washington and active in the NPI registry since December 2006. The organization lists John Duncan, Nit Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
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)
Nooksack Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Nooksack Community Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Nooksack Central Management System's NPI number?
The NPI number for Nooksack Central Management System is 1568528842. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is also known as Nooksack Community Clinic.
Where is Nooksack Central Management System located?
Nooksack Central Management System is located at 6760 Mission Rd, Everson, WA 98247. The listed phone number is (360) 966-2106.
What is Nooksack Central Management System's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nooksack Central Management System enrolled in Medicare?
Yes. Nooksack Central Management System is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nooksack Central Management System?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Nooksack Central Management System. 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 (4), Family Practice (2) and Registered Dietitian or Nutrition Professional (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Nooksack Central Management System accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Nooksack Central Management System 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 Nooksack Central Management System was last updated on March 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Nooksack Community Clinic · NPI 1568528842
Family Medicine organization in Everson, Washington. Organization record, active in the CMS NPPES registry since December 29, 2006.
## Identity
- **NPI:** 1568528842 (Entity type: Organization)
- **Enumerated:** December 29, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Nooksack Central Management System
- **Organization subpart:** No
- **Authorized official:** John Duncan, NIT CONTROLLER
## Practice location
- **Address:** 6760 MISSION RD, Everson, WA 98247-9749
- **Phone:** (360) 966-2106 · **Fax:** (360) 966-7227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2), Registered Dietitian or Nutrition Professional (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2009
- **Other identifiers:** Medicare UPIN G75351 (WA); Other 0170843 (WA); Medicaid 7084346 (WA); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1568528842) · Data from the CMS NPPES public registry.