WESTERN WA MEDICAL GROUP, DEPT OF PRIMARY CARE
NPI 1649498049
Family Medicine in Everett, WA

Active since April 23, 2007CLIA 50D0994600 · Waiver
4225 HOYT AVE STE D, EVERETT, WA 98203(425) 317-8025(425) 317-9516 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2023, Feb 23, 2016, Feb 12, 2016 (3 updates tracked since 2016).

About Western Wa Medical Group, Dept Of Primary Care NPPES

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

WESTERN WA MEDICAL GROUP, DEPT OF PRIMARY CARE (NPI 1649498049) is a healthcare organization registered as a family medicine in Everett, Washington and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Amelia Edens, Director Of Patient Financial Svcs, as its authorized official.

NPPES Registry Identity

NPI1649498049
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP, INC PS
Location Address4225 HOYT AVE STE DEverett, WA 98203-2351
Mailing Address1728 W Marine View Dr Ste 110Everett, WA 98201-2094 · (425) 317-8025 · Fax (425) 317-9516
Fax(425) 317-9516
Organization SubpartYesParent: Western Washingtom Medical Group
Authorized OfficialAmelia EdensDirector Of Patient Financial Svcs · (425) 740-4142
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
NPI 1649498049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · 601474013
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.
4225 HOYT AVE STE D, Everett, WA 98203

Other Names 1

Doing Business AsWestern Wa Medical Group, Dept Of Primary Care

Other Identifiers 3

Other0176782WA · Labor & Industry
OtherCB3566WA · Railroad Medicare
Medicaid7108012WA

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

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 50D0994600

Western Washington Medical Group Family Medicine · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D0994600
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid O. Lindstrom
Laboratory Phone(425) 317-8025
Laboratory LocationWestern Washington Medical Group Family Medicine4225 Hoyt Ave Ste D, Everett, WA 98203
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4225 HOYT AVE STE D
EVERETT, WA 98203
Dentist
4225 HOYT AVE STE D
EVERETT, WA 98203
Physician Assistant
4225 HOYT AVE STE D
EVERETT, WA 98203
Dentist (General Practice)
4225 HOYT AVE STE D
EVERETT, WA 98203

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 Western Washington Medical Group, Inc Ps's NPI number?

The NPI number for Western Washington Medical Group, Inc Ps is 1649498049. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Western Wa Medical Group, Dept Of Primary Care.

Where is Western Washington Medical Group, Inc Ps located?

Western Washington Medical Group, Inc Ps is located at 4225 Hoyt Ave Ste D, Everett, WA 98203. The listed phone number is (425) 317-8025.

What is Western Washington Medical Group, Inc Ps's specialty?

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

Does Western Washington Medical Group, Inc Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0994600) 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 Western Washington Medical Group, Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Western Washington Medical Group, Inc Ps 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 Western Washington Medical Group, Inc Ps was last updated on August 8, 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.