MYLAUREL MEDICAL GROUP WA, PLLC
NPI 1689557340
General Practice in Bainbridge Island, WA
About Mylaurel Medical Group Wa, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYLAUREL MEDICAL GROUP WA, PLLC (NPI 1689557340) is a healthcare organization registered as a general practice in Bainbridge Island, Washington and active in the NPI registry since July 2025. The organization lists Branko Kolvek, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Mylaurel Medical Group Wa, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mylaurel Medical Group Wa, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Washington, DC 20037
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 Mylaurel Medical Group Wa, PLLC's NPI number?
The NPI number for Mylaurel Medical Group Wa, PLLC is 1689557340. It was assigned to this organization in the NPPES registry on July 30, 2025.
Where is Mylaurel Medical Group Wa, PLLC located?
Mylaurel Medical Group Wa, PLLC is located at 8756 Grand Ave NE, Bainbridge Island, WA 98110. The listed phone number is (917) 613-9004.
What is Mylaurel Medical Group Wa, PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Mylaurel Medical Group Wa, PLLC enrolled in Medicare?
Yes. Mylaurel Medical Group Wa, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mylaurel Medical Group Wa, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mylaurel Medical Group Wa, PLLC, in Emergency Medicine and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mylaurel Medical Group Wa, PLLC was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mylaurel Medical Group Wa, Pllc · NPI 1689557340
General Practice organization in Bainbridge Island, Washington. Organization record, active in the CMS NPPES registry since July 30, 2025.
## Identity
- **NPI:** 1689557340 (Entity type: Organization)
- **Enumerated:** July 30, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Branko Kolvek, COO
## Practice location
- **Address:** 8756 GRAND AVE NE, Bainbridge Island, WA 98110-2905
- **Phone:** (917) 613-9004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Emergency Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689557340) · Data from the CMS NPPES public registry.