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PUBLIC HOSPITAL DIST NO 1 SKAGIT
NPI 1629012463
Specialist in Mount Vernon, WA

Active since June 15, 2006
307 S 13TH ST STE 100, MOUNT VERNON, WA 98274(360) 814-2146(360) 428-2445 Get Directions Write a Review

NPPES record last updated: December 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2017, Jan 20, 2017 (2 updates tracked since 2017).

About Public Hospital Dist No 1 Skagit NPPES

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

PUBLIC HOSPITAL DIST NO 1 SKAGIT (NPI 1629012463) is a healthcare organization registered as a specialist in Mount Vernon, Washington and active in the NPI registry since June 2006. The organization lists Paul Ishizuka, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629012463
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePUBLIC HOSPITAL DIST NO 1 SKAGIT
Location Address307 S 13TH ST STE 100Mount Vernon, WA 98274-4100
Mailing Address307 S 13th St, Suite 100Mount Vernon, WA 98274-4100 · (360) 814-2146 · Fax (360) 428-2445
Phone(360) 814-2146
Fax(360) 428-2445
Organization SubpartNo
Authorized OfficialPaul IshizukaCfo · (360) 814-5838
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 7, 20172 updates tracked since enumeration
✔ NPI 1629012463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · H-073
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
307 S 13TH ST STE 100, Mount Vernon, WA 98274
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Other Identifiers 1

Medicaid1014836WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Public Hospital Dist No 1 Skagit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Public Hospital Dist No 1 Skagit, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Hematology/Oncology5
Nurse Practitioner4
Medical Oncology3

Clinicians, nearest first (12)

Kiarash Kojouri, M.D.
Medical Oncology
NPI 1841243060
307 S. 13TH STREET
Mount Vernon, WA 98274
(360) 814-2146
✔ PECOS✔ Accepts MedicareSame address
Bruce Mathey, MD
Hematology/Oncology
NPI 1366497463
307 S 13TH ST STE 100
Mount Vernon, WA 98274
(360) 428-2146
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Poli, ARNP
Nurse Practitioner
NPI 1639650138
307 S 13TH ST
Mount Vernon, WA 98274
(360) 814-2146
✔ PECOS✔ Accepts MedicareSame address
Jaideep Shenoi, MD
Hematology/Oncology
NPI 1821156233
307 S 13TH ST STE 100
Mount Vernon, WA 98274
(360) 814-2146
✔ PECOS✔ Accepts MedicareSame address
Melissa Haun, AGNP-C
Nurse Practitioner
NPI 1952112278
307 S 13TH ST
Mount Vernon, WA 98274
(360) 814-2146
✔ PECOS✔ Accepts MedicareSame address
Jennifer Moehl, FNP-C
Nurse Practitioner
NPI 1477391423
307 S 13TH ST STE 100
Mount Vernon, WA 98274
(360) 814-2146
✔ PECOS✔ Accepts MedicareSame address
Junfeng Wang, M.D.
Hematology/Oncology
NPI 1154533412
307 S 13TH ST STE 100
Mount Vernon, WA 98274
(360) 814-2146
✔ PECOS✔ Accepts MedicareSame address
William Rubin, M.D.
Medical Oncology
NPI 1477550796
3301 SQUALICUM PKWY
Bellingham, WA 98225
(360) 788-8222
✔ PECOS✔ Accepts Medicare25 mi
Diana Bartlett, MSN
Nurse Practitioner
NPI 1023413358
1717 13TH ST STE 300
Everett, WA 98201
(425) 297-5560
✔ PECOS✔ Accepts Medicare29 mi
Yoshio Inoue, M.D.
Hematology/Oncology
NPI 1891748331
1717 13TH ST
Everett, WA 98201
(425) 297-5571
✔ PECOS✔ Accepts Medicare29 mi
Mehrdad Jafari Boroujerdi, MD
Hematology/Oncology
NPI 1922076173
825 EASTLAKE AVE. E.
Seattle, WA 98109
(206) 520-5000
✔ PECOS✔ Accepts Medicare55 mi
Arthur Molina, M.D.
Medical Oncology
NPI 1699718007
605 E HOLLAND AVE STE 100
Spokane, WA 99218
(509) 228-1000
✔ PECOS✔ Accepts Medicare233 mi

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 Public Hospital Dist No 1 Skagit's NPI number?

The NPI number for Public Hospital Dist No 1 Skagit is 1629012463. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Public Hospital Dist No 1 Skagit located?

Public Hospital Dist No 1 Skagit is located at 307 S 13th St Ste 100, Mount Vernon, WA 98274. The listed phone number is (360) 814-2146.

What is Public Hospital Dist No 1 Skagit's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Public Hospital Dist No 1 Skagit enrolled in Medicare?

Yes. Public Hospital Dist No 1 Skagit is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Public Hospital Dist No 1 Skagit?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Public Hospital Dist No 1 Skagit. 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 Hematology/Oncology (5), Nurse Practitioner (4) and Medical Oncology (3). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Public Hospital Dist No 1 Skagit accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Public Hospital Dist No 1 Skagit 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 Public Hospital Dist No 1 Skagit was last updated on December 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.