SENIOR DOC WA PC
NPI 1588430367
Family Medicine in Marysville, WA
About Senior Doc Wa Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SENIOR DOC WA PC (NPI 1588430367) is a healthcare organization registered as a family medicine in Marysville, Washington and active in the NPI registry since December 2023. The organization lists Angelica Soto, Credentialing Specialist, 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)
Senior Doc Wa Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Senior Doc Wa PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (10)
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 Senior Doc Wa PC's NPI number?
The NPI number for Senior Doc Wa PC is 1588430367. It was assigned to this organization in the NPPES registry on December 1, 2023.
Where is Senior Doc Wa PC located?
Senior Doc Wa PC is located at 912 State Ave, Marysville, WA 98270. The listed phone number is (855) 434-7763.
What is Senior Doc Wa PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Senior Doc Wa PC enrolled in Medicare?
Yes. Senior Doc Wa PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Senior Doc Wa PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Senior Doc Wa PC. 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 (6), Family Practice (1) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Senior Doc Wa PC was last updated on September 11, 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.
# Senior Doc Wa Pc · NPI 1588430367
Family Medicine organization in Marysville, Washington. Organization record, active in the CMS NPPES registry since December 1, 2023.
## Identity
- **NPI:** 1588430367 (Entity type: Organization)
- **Enumerated:** December 1, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Angelica Soto, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 912 STATE AVE, Marysville, WA 98270-4239
- **Phone:** (855) 434-7763 · **Fax:** (949) 281-5550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1588430367) · Data from the CMS NPPES public registry.