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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADAM NISHIMURA MD MS
NPI 1699172163
Family Medicine in Mill Creek, WA

Active since November 29, 2014PECOS EnrolledAccepts Medicare Assignment
15418 MAIN ST, MILL CREEK, WA 98012(425) 225-8000 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2026, Dec 18, 2020, Jul 30, 2019 (3 updates tracked since 2019).

About Adam Nishimura Md Ms NPPES

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

ADAM NISHIMURA MD MS (NPI 1699172163) is an individual family medicine provider in Mill Creek, Washington, licensed in Washington (MD60880471) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2019).

NPPES Registry Identity

NPI1699172163
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADAM NISHIMURACredential: MD MS
Location Address15418 MAIN STMill Creek, WA 98012-9030
Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414
Phone(425) 225-8000
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2019
Enumeration DateNovember 29, 2014
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1699172163 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 · MD60880471
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.
15418 MAIN ST, Mill Creek, WA 98012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam Nishimura Md Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638462757
PECOS Enrollment IDI20200103002257
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. JUSTIN STEFFENER PSY.D.
Psychologist (Clinical)
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 339-5453
MARTHA A HOFFMAN ARNP
Nurse Practitioner
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 225-8003
JENNIFER MARIE GROSS PSYD
Psychologist (Clinical)
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 339-5453
JESSICA E BRANDT ARNP
Nurse Practitioner
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 225-8004
GRACE HAMILTON
Psychologist
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 339-5453
DR. BRIANNA JOAN BAUBLITZ DNP, ARNP
Nurse Practitioner (Family)
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 225-8000
JOHN M. ZIMBUREAN, M.D., PLLC
Psychiatry & Neurology (Psychiatry)
15418 MAIN ST, SUITE 301
MILL CREEK, WA 98012
Snohomish County (425) 385-2960
KATHRYN H JENSEN ARNP
Nurse Practitioner
15418 MAIN ST
MILL CREEK, WA 98012
Snohomish County (425) 225-8004

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 Adam Nishimura's NPI number?

The NPI number for Adam Nishimura is 1699172163. It was assigned to this individual provider in the NPPES registry on November 29, 2014.

Where is Adam Nishimura located?

Adam Nishimura practices at 15418 Main St, Mill Creek, WA 98012. The listed phone number is (425) 225-8000.

What is Adam Nishimura's specialty?

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

Is Adam Nishimura enrolled in Medicare?

Yes. Adam Nishimura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Nishimura accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Adam Nishimura 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 Adam Nishimura was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.