PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1639468259
Neurological Surgery in Everett, WA

Active since April 05, 2011
1717 13TH ST, SUITE 401, EVERETT, WA 98201(425) 297-6400(425) 297-6405 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2025, Mar 21, 2025, Sep 7, 2021 (3 updates tracked since 2021).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1639468259), doing business as Pmg Nw Wa Cranial Spine And Joint Clinic, is a healthcare organization registered as a neurological surgery in Everett, Washington and active in the NPI registry since April 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1639468259
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address1717 13TH ST, SUITE 401Everett, WA 98201-1621
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Fax(425) 297-6405
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 5, 2011
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1639468259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
1717 13TH ST, Everett, WA 98201

Other Names 1

Doing Business AsPmg Nw Wa Cranial Spine And Joint Clinic

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

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

702

Medicare enrollment records show 702 clinicians reassign Medicare billing to Providence Health & Services - Washington, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 338 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner108
Internal Medicine90
Family Practice63
Emergency Medicine61
Neurology56
Hospitalist35
General Surgery29
Cardiovascular Disease (Cardiology)24
41 other specialties236

Nearest to this location (20)

See all 702
Hospitalist
NPI 1124657903
1717 13TH ST
Everett, WA 98201
(425) 297-5560
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1912963711
1717 13TH ST STE 401
Everett, WA 98201
(425) 261-4910
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1780657601
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1346546322
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1649291592
1717 13TH ST STE 300
Everett, WA 98201
(425) 297-5560
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1548654023
1717 13TH ST
Everett, WA 98201
(425) 297-5500
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1649697707
1717 13TH ST STE 300
Everett, WA 98201
(713) 566-4550
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1861020299
1717 13TH ST STE 401
Everett, WA 98201
(425) 261-4910
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1548657000
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063074169
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-5660
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477141059
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1912230988
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306293337
1717 13TH ST STE 210
Everett, WA 98201
(425) 297-5660
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1801038161
1300 ROCKEFELLER AVE SUITE 120
Everett, WA 98201
(425) 339-5442
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1649965682
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1427685254
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1568959559
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1639819675
1700 13TH ST
Everett, WA 98201
(713) 870-8189
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1538819479
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1174144265
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
See all 702 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 1639468259. It was assigned to this organization in the NPPES registry on April 5, 2011. The provider is doing business as Pmg NW Wa Cranial Spine And Joint Clinic.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 1717 13th St Suite 401, Everett, WA 98201. The listed phone number is (425) 297-6400.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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), 702 clinicians in 49 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 Nurse Practitioner (108), Internal Medicine (90) and Family Practice (63). Of these, 29 practice at this address and 338 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 Ambetter Health, 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 12, 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.