PNW MOBILE CLINIC
NPI 1578437471
Nurse Practitioner - Family in Lakewood, WA
About Pnw Mobile Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PNW MOBILE CLINIC (NPI 1578437471) is a healthcare organization registered as a family in Lakewood, Washington and active in the NPI registry since October 2025. The organization lists Laisa Rozul, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pnw Mobile Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pnw Mobile Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Pnw Mobile Clinic's NPI number?
The NPI number for Pnw Mobile Clinic is 1578437471. It was assigned to this organization in the NPPES registry on October 2, 2025.
Where is Pnw Mobile Clinic located?
Pnw Mobile Clinic is located at 8001 Shadywood Ln SW, Lakewood, WA 98498. The listed phone number is (719) 201-7044.
What is Pnw Mobile Clinic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pnw Mobile Clinic enrolled in Medicare?
Yes. Pnw Mobile Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pnw Mobile Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pnw Mobile Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pnw Mobile Clinic was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Pnw Mobile Clinic · NPI 1578437471
Family organization in Lakewood, Washington. Organization record, active in the CMS NPPES registry since October 2, 2025.
## Identity
- **NPI:** 1578437471 (Entity type: Organization)
- **Enumerated:** October 2, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Laisa Rozul, OWNER
## Practice location
- **Address:** 8001 SHADYWOOD LN SW, Lakewood, WA 98498-5425
- **Phone:** (719) 201-7044 · **Fax:** (719) 201-7044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578437471) · Data from the CMS NPPES public registry.