PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1619176997
General Acute Care Hospital in Olympia, WA

Q: What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since July 16, 2007

413 LILLY RD NE, OLYMPIA, WA 98506(360) 491-9480 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2025, Mar 7, 2025, Oct 31, 2017 and 1 more (4 updates tracked since 2016).

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About Providence Health & Services Washington NPPES

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

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1619176997) is a healthcare organization registered as a general acute care hospital in Olympia, Washington and active in the NPI registry since July 2007. The organization lists Donald Wayne Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1619176997

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON

Location Address413 LILLY RD NEOlympia, WA 98506-5133

Mailing AddressPo Box 31001-4110Pasadena, CA 91110-4110

Phone(360) 491-9480

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary For Enrollment · (425) 358-9786

Enumeration DateJuly 16, 2007

Last NPPES UpdateMay 15, 20254 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1619176997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in WA · 313007977

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedHospitalistTaxonomy 208M00000X

413 LILLY RD NE, Olympia, WA 98506

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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)

Providence Health & Services Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

184

Medicare enrollment records show 184 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 95 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Internal Medicine30

Nurse Practitioner21

Family Practice12

Obstetrics/Gynecology11

Pulmonary Disease10

Cardiovascular Disease (Cardiology)9

Hospice/Palliative Care9

Urology9

21 other specialties73

Nearest to this location (20)

See all 184

Nina Andersen, DO

Hospice/Palliative Care

NPI 1912535576

413 LILLY RD NE
Olympia, WA 98506

(360) 486-6402

✔ PECOS✔ Accepts MedicareSame address

Heidi Bray, ARNP

Nurse Practitioner

NPI 1366492241

413 LILLY RD NE
Olympia, WA 98506

(360) 493-4069

✔ PECOS✔ Accepts MedicareSame address

Sundar Cherukuri, DO

Internal Medicine

NPI 1427511849

413 LILLY RD NE
Olympia, WA 98506

(360) 491-9480

✔ PECOS✔ Accepts MedicareSame address

Khaled Darwesh, MD

Hospitalist

NPI 1265963805

413 LILLY RD NE
Olympia, WA 98506

(360) 493-4083

✔ PECOS✔ Accepts MedicareSame address

Rubina Dhaliwal

Internal Medicine

NPI 1831623859

413 LILLY RD NE
Olympia, WA 98506

(360) 493-4083

✔ PECOS✔ Accepts MedicareSame address

Juliette Erickson, MD

Family Practice

NPI 1851489660

413 LILLY RD NE
Olympia, WA 98506

(360) 486-6402

✔ PECOS✔ Accepts MedicareSame address

Mary Fredericks, ARNP

Nurse Practitioner

NPI 1306188032

413 LILLY RD NE PMG SW WA OLYMPIA PSYCHIATRY
Olympia, WA 98506

(360) 493-7060

✔ PECOS✔ Accepts MedicareSame address

Joyce Gilbert, MD

Pediatric Medicine

NPI 1174515993

413 LILLY RD NE
Olympia, WA 98506

(360) 493-7469

✔ PECOSSame address

Michael Goodblatt, M.D.

Hospice/Palliative Care

NPI 1952613374

413 LILLY RD NE
Olympia, WA 98506

(360) 486-6402

✔ PECOS✔ Accepts MedicareSame address

Andrzej Himmel, MD

Internal Medicine

NPI 1174711634

413 LILLY RD NE
Olympia, WA 98506

(360) 493-4069

✔ PECOS✔ Accepts MedicareSame address

Peter Jorgenson, ARNP

Nurse Practitioner

NPI 1376156216

413 LILLY RD NE
Olympia, WA 98506

(360) 493-4083

✔ PECOS✔ Accepts MedicareSame address

Alexander Kats, M.D.

Internal Medicine

NPI 1356533228

413 LILLY RD NE
Olympia, WA 98506

(360) 493-4069

✔ PECOS✔ Accepts MedicareSame address

Daniel Kissau, MD

Internal Medicine

NPI 1861996837

413 LILLY RD NE
Olympia, WA 98506

(360) 493-4083

✔ PECOS✔ Accepts MedicareSame address

Christina Klein, MD

Hospice/Palliative Care

NPI 1154731727

413 LILLY RD NE
Olympia, WA 98506

(360) 486-6402

✔ PECOS✔ Accepts MedicareSame address

Stephen Lykins, MD

Psychiatry

NPI 1194805390

413 LILLY RD NE
Olympia, WA 98506

(360) 493-7064

✔ PECOS✔ Accepts MedicareSame address

Jessica Maike

Nurse Practitioner

NPI 1841701752

413 LILLY RD NE
Olympia, WA 98506

(360) 493-4083

✔ PECOS✔ Accepts MedicareSame address

Lisa Neal, ARNP

Nurse Practitioner

NPI 1407014749

413 LILLY RD NE
Olympia, WA 98506

(360) 486-6147

✔ PECOS✔ Accepts MedicareSame address

Amy Picone, MD

Family Practice

NPI 1790282010

413 LILLY RD NE
Olympia, WA 98506

(360) 493-7802

✔ PECOS✔ Accepts MedicareSame address

Regina Maria Santiago, MD

Psychiatry

NPI 1548793649

413 LILLY RD NE
Olympia, WA 98506

(360) 493-7060

✔ PECOS✔ Accepts MedicareSame address

Anjan Sattar, MD

Psychiatry

NPI 1487754271

413 LILLY RD NE
Olympia, WA 98506

(360) 493-7060

✔ PECOS✔ Accepts MedicareSame address

See all 184 clinicians

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 Providence Health & Services Washington's NPI number?

The NPI number for Providence Health & Services Washington is 1619176997. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 413 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 491-9480.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Providence Health & Services Washington enrolled in Medicare?

Yes. Providence Health & Services Washington is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Washington?

According to the CMS Revalidation Reassignment List (October 2026 release), 184 clinicians in 29 Medicare specialties reassign their Medicare billing to Providence Health & Services Washington. 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 Internal Medicine (30), Nurse Practitioner (21) and Family Practice (12). Of these, 28 practice at this address and 95 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services Washington 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 Providence Health & Services Washington was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.