NORTH OLYMPIC HEALTHCARE NETWORK
NPI 1568961969
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Angeles, WA

Active since February 12, 2018CLIA 50D0635261 · Microscopy
933 E 1ST ST, PORT ANGELES, WA 98362(360) 452-7891 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2023, Nov 9, 2023, Mar 27, 2023 and 3 more (6 updates tracked since 2018).

About North Olympic Healthcare Network NPPES

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

NORTH OLYMPIC HEALTHCARE NETWORK (NPI 1568961969) is a healthcare organization registered as a federally qualified health center (fqhc) in Port Angeles, Washington and active in the NPI registry since February 2018. The organization holds a CLIA Microscopy certificate valid through April 4, 2028, maintains 2 additional practice locations, and lists Michael S Maxwell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568961969
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTH OLYMPIC HEALTHCARE NETWORK
Location Address933 E 1ST STPort Angeles, WA 98362-4012
Mailing Address240 W Front St Ste APort Angeles, WA 98362-2609 · (360) 452-7891 · Fax (360) 452-8087
Organization SubpartYes
Authorized OfficialMichael S MaxwellCeo · (360) 452-7891
Enumeration DateFebruary 12, 2018
Last NPPES UpdateNovember 9, 20236 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1568961969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
933 E 1ST ST, Port Angeles, WA 98362

Secondary Practice Locations 2

Location 11026 E 1st StPort Angeles, WA 98362-4020 · Phone (360) 452-7891 · Fax (360) 452-8087
Location 2240 W Front St Ste APort Angeles, WA 98362 · Phone (360) 452-7891

Other Identifiers 2

Medicaid2114921WA
Medicaid2046838WA

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)

North Olympic Healthcare Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to North Olympic Healthcare Network, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Family Practice16
Nurse Practitioner8
Dentist3
Mental Health Counselor3
Optometry2
Certified Nurse Midwife (CNM)1
Clinical Psychologist1
Clinical Social Worker1
1 other specialty1

Nearest to this location (20)

See all 36
Dentist
NPI 1023757085
933 E 1ST ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOSSame address
Nurse Practitioner
NPI 1043808405
933 E 1ST ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396929824
933 E 1ST ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1154495653
933 E 1ST ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOSSame address
Dentist
NPI 1295504587
933 E 1ST ST
Port Angeles, WA 98362
(360) 797-1037
✔ PECOSSame address
Mental Health Counselor
NPI 1356918718
933 E 1ST ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOSSame address
Clinical Psychologist
NPI 1851726616
933 E 1ST ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOSSame address
Marriage and Family Therapist
NPI 1821499252
933 E 1ST ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOSSame address
Mental Health Counselor
NPI 1992390694
933 E 1ST ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1194743351
1026 E 1ST ST STE A
Port Angeles, WA 98362
(360) 452-2020
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1376187104
1114 GEORGIANA ST
Port Angeles, WA 98362
(360) 565-7420
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1972004646
204 W 4TH ST APT 11
Port Angeles, WA 98362
(703) 470-3479
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1033513502
240 W FRONT ST STE A
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1518316850
240 W FRONT ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts Medicare1.1 mi
Certified Nurse Midwife (CNM)
NPI 1366190712
240 W FRONT ST STE A
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS1.1 mi
Family Practice
NPI 1609516699
240 W FRONT ST STE A
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1538875091
240 W FRONT ST STE A
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1912269135
240 W FRONT ST STE A
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts Medicare1.1 mi
Optometry
NPI 1104811488
240 W FRONT ST STE A
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1215657366
240 W FRONT ST
Port Angeles, WA 98362
(360) 452-7891
✔ PECOS✔ Accepts Medicare1.1 mi
See all 36 clinicians

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) 50D0635261

North Olympic Healthcare Network · Port Angeles, WA
Active · expires Apr 4, 2028
CLIA Number50D0635261
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMichael Maxwell
Laboratory Phone(360) 452-7891
Laboratory LocationNorth Olympic Healthcare Network240 W Front St, Port Angeles, WA 98362
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 North Olympic Healthcare Network's NPI number?

The NPI number for North Olympic Healthcare Network is 1568961969. It was assigned to this organization in the NPPES registry on February 12, 2018.

Where is North Olympic Healthcare Network located?

North Olympic Healthcare Network is located at 933 E 1st St, Port Angeles, WA 98362. The listed phone number is (360) 452-7891.

What is North Olympic Healthcare Network's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is North Olympic Healthcare Network enrolled in Medicare?

Yes. North Olympic Healthcare Network is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Olympic Healthcare Network?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 9 Medicare specialties reassign their Medicare billing to North Olympic Healthcare Network. 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 (16), Nurse Practitioner (8) and Dentist (3). Of these, 9 practice at this address and 35 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Olympic Healthcare Network hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0635261) 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 North Olympic Healthcare Network accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list North Olympic Healthcare Network 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 North Olympic Healthcare Network was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.