SOUTH HILL PAIN & WELLNESS
NPI 1619737764
Registered Nurse - Pain Management in Edmonds, WA
About South Hill Pain & Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH HILL PAIN & WELLNESS (NPI 1619737764), doing business as Active Health & Wellness, is a healthcare organization registered as a pain management in Edmonds, Washington and active in the NPI registry since March 2024. The organization lists Melissa Ann Barclay, Np/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
South Hill Pain & Wellness 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 South Hill Pain & Wellness, 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 South Hill Pain & Wellness's NPI number?
The NPI number for South Hill Pain & Wellness is 1619737764. It was assigned to this organization in the NPPES registry on March 19, 2024. The provider is doing business as Active Health & Wellness.
Where is South Hill Pain & Wellness located?
South Hill Pain & Wellness is located at 21701 76th Ave W Ste 104, Edmonds, WA 98026. The listed phone number is (425) 375-5689.
What is South Hill Pain & Wellness's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Pain Management, with taxonomy code 163WP0000X.
Is South Hill Pain & Wellness enrolled in Medicare?
Yes. South Hill Pain & Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Hill Pain & Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to South Hill Pain & Wellness. 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 South Hill Pain & Wellness was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# South Hill Pain & Wellness · NPI 1619737764
Pain Management organization in Edmonds, Washington. Organization record, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1619737764 (Entity type: Organization)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Registered Nurse - Pain Management · taxonomy 163WP0000X
- **Also known as:** Active Health & Wellness (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Melissa Barclay, NP/OWNER
## Practice location
- **Address:** 21701 76TH AVE W STE 104, Edmonds, WA 98026-7536
- **Phone:** (425) 375-5689
## 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 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619737764) · Data from the CMS NPPES public registry.