PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1639892672
Clinic/Center - Rural Health in Chewelah, WA
About Providence Health & Services Washington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1639892672), doing business as Providence Family Medicine Chewelah, is a healthcare organization registered as a rural health in Chewelah, Washington and active in the NPI registry since September 2022. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
860Medicare enrollment records show 860 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 54
Nearest to this location (20)
See all 860Colville, WA 99114
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 1639892672. It was assigned to this organization in the NPPES registry on September 23, 2022. The provider is doing business as Providence Family Medicine Chewelah.
Where is Providence Health & Services Washington located?
Providence Health & Services Washington is located at 100 W South Ave, Chewelah, WA 99109. The listed phone number is (509) 935-8111.
What is Providence Health & Services Washington's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
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), 860 clinicians in 54 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 (143), Internal Medicine (129) and Family Practice (109). Of these, 2 practice at this address and 3 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 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 5, 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.
# Providence Health & Services Washington · NPI 1639892672
Rural Health organization in Chewelah, Washington. Organization record, active in the CMS NPPES registry since September 23, 2022.
## Identity
- **NPI:** 1639892672 (Entity type: Organization)
- **Enumerated:** September 23, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** PROVIDENCE FAMILY MEDICINE CHEWELAH (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 100 W SOUTH AVE, Chewelah, WA 99109-9684
- **Phone:** (509) 935-8111 · **Fax:** (509) 935-0970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 860 clinicians in 54 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (143), Internal Medicine (129), Family Practice (109); 2 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1639892672/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639892672) · Data from the CMS NPPES public registry.