PROVIDENCE HEALTH & SERVICES - WA
NPI 1669616363
Internal Medicine - Cardiovascular Disease in Mukilteo, WA
About Providence Health & Services - Wa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - WA (NPI 1669616363), doing business as Providence Physician Group Harbour Pointe Cardiology, is a healthcare organization registered as a cardiovascular disease in Mukilteo, Washington and active in the NPI registry since April 2009. The organization lists Donald Wayne Anderson, Assistant Secretary For Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
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 - Wa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
702Medicare enrollment records show 702 clinicians reassign Medicare billing to Providence Health & Services - Wa, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 361 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 702Mukilteo, WA 98275
Mukilteo, WA 98275
Mukilteo, WA 98275
Mukilteo, WA 98275
Mukilteo, WA 98275
Mukilteo, WA 98275
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 - Wa's NPI number?
The NPI number for Providence Health & Services - Wa is 1669616363. It was assigned to this organization in the NPPES registry on April 24, 2009. The provider is doing business as Providence Physician Group Harbour Pointe Cardiology.
Where is Providence Health & Services - Wa located?
Providence Health & Services - Wa is located at 4112 Harbour Pointe Blvd SW Suite 100, Mukilteo, WA 98275. The listed phone number is (425) 347-6330.
What is Providence Health & Services - Wa's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Providence Health & Services - Wa enrolled in Medicare?
Yes. Providence Health & Services - Wa is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Health & Services - Wa?
According to the CMS Revalidation Reassignment List (October 2026 release), 702 clinicians in 49 Medicare specialties reassign their Medicare billing to Providence Health & Services - Wa. 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, 9 practice at this address and 361 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Providence Health & Services - Wa was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 - Wa · NPI 1669616363
Cardiovascular Disease organization in Mukilteo, Washington. Organization record, active in the CMS NPPES registry since April 24, 2009.
## Identity
- **NPI:** 1669616363 (Entity type: Organization)
- **Enumerated:** April 24, 2009
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Also known as:** PROVIDENCE PHYSICIAN GROUP HARBOUR POINTE CARDIOLOGY (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY FOR ENROLLMENT
## Practice location
- **Address:** 4112 HARBOUR POINTE BLVD SW, SUITE 100, Mukilteo, WA 98275-5457
- **Phone:** (425) 347-6330 · **Fax:** (425) 347-6335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 702 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (108), Internal Medicine (90), Family Practice (63); 9 practice at this address and 361 within 10 miles; [full list](https://npiprofile.com/npi/1669616363/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669616363) · Data from the CMS NPPES public registry.