1. Home
  2. Directory
  3. Washington
  4. Lacey
  5. Family Medicine
  6. NPI Profile

CAPITAL MEDICAL CENTER PHYSICIANS LLC
NPI 1649037623
Family Medicine in Lacey, WA

Active since March 05, 2024
5130 CORPORATE CENTER CT SE, LACEY, WA 98503(360) 413-8600(360) 413-8822 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2025, Mar 5, 2024 (2 updates tracked since 2024).

About Capital Medical Center Physicians Llc NPPES

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

CAPITAL MEDICAL CENTER PHYSICIANS LLC (NPI 1649037623), doing business as Pioneer Family Practice By Multicare, is a healthcare organization registered as a family medicine in Lacey, Washington and active in the NPI registry since March 2024. The organization lists William Glenn Robertson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649037623
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAPITAL MEDICAL CENTER PHYSICIANS LLC
Location Address5130 CORPORATE CENTER CT SELacey, WA 98503-5957
Mailing AddressP.o. Box 5299, Ms: 820-5-pcoTacoma, WA 98415-0299
Phone(360) 413-8600
Fax(360) 413-8822
Organization SubpartNo
Authorized OfficialWilliam Glenn RobertsonCeo · (253) 403-1272
Enumeration DateMarch 5, 2024
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1649037623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5130 CORPORATE CENTER CT SE, Lacey, WA 98503
Open in Google Maps ↗

Other Names 1

Doing Business AsPioneer Family Practice By Multicare

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

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)

Capital Medical Center Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

77

Medicare enrollment records show 77 clinicians reassign Medicare billing to Capital Medical Center Physicians LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 52 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner40
Family Practice26
Internal Medicine9
General Practice1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 77
Lucinda Grande, MD
Family Practice
NPI 1982714317
5130 CORPORATE CENTER CT SE PIONEER FAMILY PRACTICE
Lacey, WA 98503
(360) 413-8610
✔ PECOS✔ Accepts MedicareSame address
Cris Johnson, MD
Family Practice
NPI 1144390261
5130 CORPORATE CENTER CT SE
Lacey, WA 98503
(360) 413-8600
✔ PECOS✔ Accepts MedicareSame address
Jennifer Playstead, MD
Family Practice
NPI 1851464937
5130 CORPORATE CENTER CT SE
Lacey, WA 98503
(360) 413-8600
✔ PECOS✔ Accepts MedicareSame address
Edward Cates, MD
Family Practice
NPI 1730231127
5130 CORPORATE CENTER CT SE
Lacey, WA 98503
(360) 413-8600
✔ PECOS✔ Accepts MedicareSame address
Yan Geng, MD
Family Practice
NPI 1104146620
1450 NORTHWEST LN SE STE A
Lacey, WA 98503
(360) 491-4460
✔ PECOS✔ Accepts Medicare2.3 mi
Kurt Sandine, MD
Family Practice
NPI 1164527206
3928 PACIFIC AVE SE
Lacey, WA 98503
(360) 455-1350
✔ PECOS✔ Accepts Medicare2.8 mi
Jaclyn Sison, APRN
Nurse Practitioner
NPI 1780578765
2227 79TH AVE SE
Tumwater, WA 98501
(206) 422-6857
✔ PECOS✔ Accepts Medicare2.9 mi
Rebecca Bodle-Shingu, ARNP
Nurse Practitioner
NPI 1558362368
3425 ENSIGN RD NE STE 220
Olympia, WA 98506
(360) 493-4019
✔ PECOS✔ Accepts Medicare3.6 mi
Paul Knouff, M.D.
Family Practice
NPI 1457533366
525 LILLY RD NE STE 250 PMG SW WA EAST OLYMPIA FAM MED
Olympia, WA 98506
(360) 486-6777
✔ PECOS✔ Accepts Medicare3.8 mi
Devin Sawyer, M.D.
Family Practice
NPI 1497756308
525 LILLY RD NE
Olympia, WA 98506
(360) 493-7230
✔ PECOS✔ Accepts Medicare3.8 mi
Maria Socorro Gandara, FNP
Nurse Practitioner
NPI 1366625717
1100 EASTSIDE ST SE
Olympia, WA 98501
(360) 943-5127
✔ PECOS✔ Accepts Medicare3.9 mi
Kimberly Ireland, ARNP
Nurse Practitioner
NPI 1285711358
150 DENNIS ST SW
Tumwater, WA 98501
(360) 754-6367
✔ PECOS4.1 mi
Cynthia Whitney, MD
Family Practice
NPI 1508817677
150 DENNIS ST SW SUITE A
Tumwater, WA 98501
(360) 754-6367
✔ PECOS✔ Accepts Medicare4.1 mi
Jordyn Wirkkala, DO
Family Practice
NPI 1033853148
150 DENNIS ST SW
Tumwater, WA 98501
(360) 754-6367
✔ PECOS✔ Accepts Medicare4.1 mi
Jessica Ahern, ARNP
Nurse Practitioner
NPI 1245077239
150 DENNIS ST SW
Tumwater, WA 98501
(360) 754-6367
✔ PECOS✔ Accepts Medicare4.1 mi
Megan Colburn, ARNP
Nurse Practitioner
NPI 1922482074
150 DENNIS ST SW STE A
Tumwater, WA 98501
(360) 754-6367
✔ PECOS✔ Accepts Medicare4.1 mi
Charmaine Green, ARNP
Nurse Practitioner
NPI 1174245625
150 DENNIS ST SW
Tumwater, WA 98501
(360) 754-6367
✔ PECOS✔ Accepts Medicare4.1 mi
Louise Kaplan, PHD, CRNP
Nurse Practitioner
NPI 1073590659
150 DENNIS ST SW STE A
Tumwater, WA 98501
(360) 754-6367
✔ PECOS✔ Accepts Medicare4.1 mi
Andrea Repphun, MD
General Practice
NPI 1043383136
150 DENNIS ST SW
Tumwater, WA 98501
(360) 754-6367
✔ PECOS✔ Accepts Medicare4.1 mi
Hillary Allen Kissick, M.D.
Family Practice
NPI 1851392765
510 STATE AVE NE STE 101
Olympia, WA 98501
(833) 411-5469
✔ PECOS4.7 mi
See all 77 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 Capital Medical Center Physicians LLC's NPI number?

The NPI number for Capital Medical Center Physicians LLC is 1649037623. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is doing business as Pioneer Family Practice by MultiCare.

Where is Capital Medical Center Physicians LLC located?

Capital Medical Center Physicians LLC is located at 5130 Corporate Center Ct SE, Lacey, WA 98503. The listed phone number is (360) 413-8600.

What is Capital Medical Center Physicians LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Capital Medical Center Physicians LLC enrolled in Medicare?

Yes. Capital Medical Center Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capital Medical Center Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 77 clinicians in 5 Medicare specialties reassign their Medicare billing to Capital Medical Center Physicians LLC. 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 (40), Family Practice (26) and Internal Medicine (9). Of these, 4 practice at this address and 52 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Capital Medical Center Physicians LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Capital Medical Center Physicians LLC 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 Capital Medical Center Physicians LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.