EZZIA HEALTHCARE PLLC
NPI 1629735618
Clinic/Center in Everett, WA

Active since November 24, 2021CLIA 50D2247664 · Waiver
9802 EVERGREEN WAY, EVERETT, WA 98204(781) 775-9026 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2023, Nov 24, 2021 (2 updates tracked since 2021).

About Ezzia Healthcare Pllc NPPES

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

EZZIA HEALTHCARE PLLC (NPI 1629735618) is a healthcare organization registered as a clinic/center in Everett, Washington and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Bothell, and lists Phylis Muthee, Owner, as its authorized official.

NPPES Registry Identity

NPI1629735618
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEZZIA HEALTHCARE PLLC
Location Address9802 EVERGREEN WAYEverett, WA 98204-3828
Mailing Address9802 Evergreen WayEverett, WA 98204-3828 · (425) 610-3171 · Fax (866) 502-3611
Organization SubpartNo
Authorized OfficialPhylis MutheeOwner · (781) 775-9026
Enumeration DateNovember 24, 2021
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1629735618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
9802 EVERGREEN WAY, Everett, WA 98204

Secondary Practice Location 1

Location 117712 41st Dr SEBothell, WA 98012-5168 · Phone (425) 610-3171 · Fax (866) 502-3611

Accepted 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)

Ezzia Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ezzia Healthcare PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1598015919
9802 EVERGREEN WAY
Everett, WA 98204
(425) 610-3171
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053073114
3955 156TH ST NE
Marysville, WA 98271
(254) 939-2100
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2247664

Ezzia Healthcare PLLC · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2247664
Laboratory TypeMobile Laboratory
Certificate Effective DateJanuary 7, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPhylius Muthee
Laboratory Phone(781) 775-9026
Laboratory LocationEzzia Healthcare PLLC9802 Evergreen Way, Everett, WA 98204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ezzia Healthcare PLLC's NPI number?

The NPI number for Ezzia Healthcare PLLC is 1629735618. It was assigned to this organization in the NPPES registry on November 24, 2021.

Where is Ezzia Healthcare PLLC located?

Ezzia Healthcare PLLC is located at 9802 Evergreen Way, Everett, WA 98204. The listed phone number is (781) 775-9026.

What is Ezzia Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Ezzia Healthcare PLLC enrolled in Medicare?

Yes. Ezzia Healthcare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ezzia Healthcare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ezzia Healthcare PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ezzia Healthcare PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2247664) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ezzia Healthcare PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ezzia Healthcare PLLC 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 Ezzia Healthcare PLLC was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.