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OLYMPIC PENINSULA HEALTH SERVICES
NPI 1700373321
Internal Medicine - Addiction Medicine in Port Hadlock, WA

Active since April 19, 2018CLIA Certified · 2 labs
661 NESS CORNER RD, PORT HADLOCK, WA 98339(360) 912-5777(206) 472-6035 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2019, Apr 19, 2018 (2 updates tracked since 2018).

About Olympic Peninsula Health Services NPPES

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

OLYMPIC PENINSULA HEALTH SERVICES (NPI 1700373321) is a healthcare organization registered as an addiction medicine in Port Hadlock, Washington and active in the NPI registry since April 2018. The organization holds 2 active CLIA laboratory certificates and lists Annie Failoni, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1700373321
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameOLYMPIC PENINSULA HEALTH SERVICES
Location Address661 NESS CORNER RDPort Hadlock, WA 98339-9410
Mailing AddressPo Box 574Port Hadlock, WA 98339-0574 · (360) 531-4272
Phone(360) 912-5777
Fax(206) 472-6035
Organization SubpartNo
Authorized OfficialAnnie FailoniNurse Practitioner · (360) 531-4272
Enumeration DateApril 19, 2018
Last NPPES UpdateJanuary 8, 20192 updates tracked since enumeration
✔ NPI 1700373321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
661 NESS CORNER RD, Port Hadlock, WA 98339
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, 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)

Olympic Peninsula Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Olympic Peninsula Health Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Ann Failoni, ARNP
Nurse Practitioner
NPI 1245257054
661 NESS CORNER RD
Port Hadlock, WA 98339
(360) 912-5777
✔ PECOS✔ Accepts MedicareSame address
Tina Christian-Lenson, ARNP
Nurse Practitioner
NPI 1265494587
10827 NE 68TH ST SUITE 100
Kirkland, WA 98033
(425) 406-7870
✔ PECOS✔ Accepts Medicare37 mi
Raven Young, PMHNP-BC, ARNP
Nurse Practitioner
NPI 1023552254
1712 6TH AVE STE 100
Tacoma, WA 98405
(253) 666-9974
✔ PECOS✔ Accepts Medicare56 mi
Sandra Canaday, ARNP
Nurse Practitioner
NPI 1114236783
4909 108TH ST SW
Lakewood, WA 98499
(253) 581-3075
✔ PECOS✔ Accepts Medicare62 mi
Sandra Walker-Lee, NURSE PRACTITIONER
Nurse Practitioner
NPI 1912338633
201 E 11TH ST
Spencer, IA 51301
(712) 262-2922
✔ PECOS✔ Accepts Medicare1,373 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 50D2149530

Olympic Peninsula Health Services · Port Hadlock, WA
Active · expires Apr 4, 2028
CLIA Number50D2149530
Laboratory TypePractitioner Other
Certificate Effective DateJune 5, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAnn Failoni
Laboratory Phone(360) 912-5777
Laboratory LocationOlympic Peninsula Health Services150 Chimacum Rd. Unit A, Port Hadlock, WA 98339
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2160325

Olympic Peninsula Health Services · Port Angeles, WA
Active · expires Apr 4, 2028
CLIA Number50D2160325
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAnn Failoni
Laboratory Phone(360) 912-5777
Laboratory LocationOlympic Peninsula Health Services1106 E 1st St., Port Angeles, WA 98362
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Olympic Peninsula Health Services's NPI number?

The NPI number for Olympic Peninsula Health Services is 1700373321. It was assigned to this organization in the NPPES registry on April 19, 2018.

Where is Olympic Peninsula Health Services located?

Olympic Peninsula Health Services is located at 661 Ness Corner Rd, Port Hadlock, WA 98339. The listed phone number is (360) 912-5777.

What is Olympic Peninsula Health Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Olympic Peninsula Health Services enrolled in Medicare?

Yes. Olympic Peninsula Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olympic Peninsula Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Olympic Peninsula Health Services. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Olympic Peninsula Health Services hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Olympic Peninsula Health Services accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Olympic Peninsula Health Services 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 Olympic Peninsula Health Services was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.