1. Home
  2. Directory
  3. Washington
  4. Montesano
  5. Internal Medicine
  6. NPI Profile

CAPITAL MEDICAL CENTER PHYSICIANS LLC
NPI 1710744792
Internal Medicine in Montesano, WA

Active since March 05, 2024
112 E BROADWAY AVE, MONTESANO, WA 98563(360) 249-4111(360) 249-5220 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2025, Mar 5, 2024 (2 updates tracked since 2024).

About Capital Medical Center Physicians Llc NPPES

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

CAPITAL MEDICAL CENTER PHYSICIANS LLC (NPI 1710744792), doing business as Montesano Internal Medicine By Multicare, is a healthcare organization registered as an internal medicine in Montesano, Washington and active in the NPI registry since March 2024. The organization lists William Glenn Robertson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710744792
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCAPITAL MEDICAL CENTER PHYSICIANS LLC
Location Address112 E BROADWAY AVEMontesano, WA 98563-3704
Mailing AddressP.o. Box 5299, Ms: 820-5-pcoTacoma, WA 98415-0299
Phone(360) 249-4111
Fax(360) 249-5220
Organization SubpartNo
Authorized OfficialWilliam Glenn RobertsonCeo · (253) 403-1272
Enumeration DateMarch 5, 2024
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1710744792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
112 E BROADWAY AVE, Montesano, WA 98563
Open in Google Maps ↗

Other Names 1

Doing Business AsMontesano Internal Medicine By Multicare

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

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

Capital Medical Center Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

77

Medicare enrollment records show 77 clinicians reassign Medicare billing to Capital Medical Center Physicians LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner40
Family Practice26
Internal Medicine9
General Practice1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 77
Clara Shin, M.D.
Internal Medicine
NPI 1376516401
112 E BROADWAY AVE
Montesano, WA 98563
(360) 249-4111
✔ PECOS✔ Accepts MedicareSame address
Yong Shin, M.D.
Internal Medicine
NPI 1851364988
112 E BROADWAY AVE
Montesano, WA 98563
(360) 249-4111
✔ PECOS✔ Accepts MedicareSame address
Karen Arndt, ARNP
Nurse Practitioner
NPI 1104995596
112 E BROADWAY AVE
Montesano, WA 98563
(360) 249-4111
✔ PECOS✔ Accepts MedicareSame address
Monica Hallak, ARNP
Nurse Practitioner
NPI 1942725155
815 K ST
Hoquiam, WA 98550
(360) 537-6430
✔ PECOS✔ Accepts Medicare25 mi
Rachel Armas, ARNP, FNP-C
Nurse Practitioner
NPI 1326207044
90 SE KLAH CHE MIN DR
Shelton, WA 98584
(360) 427-9006
✔ PECOS✔ Accepts Medicare26 mi
Kerry Gamble, FNP
Nurse Practitioner
NPI 1376064410
601 MCPHEE RD SW BLDG 1
Olympia, WA 98502
(564) 669-5050
✔ PECOS✔ Accepts Medicare31 mi
Briannia Ladson, RDN
Registered Dietitian or Nutrition Professional
NPI 1598644999
601 MCPHEE RD SW BLDG 1
Olympia, WA 98502
(564) 669-5050
31 mi
Ava Asher, M.D.
Family Practice
NPI 1881950632
3920 CAPITAL MALL DR SW STE 200
Olympia, WA 98502
(360) 706-6400
✔ PECOS✔ Accepts Medicare31 mi
Rebecca Collins, FNP-C
Nurse Practitioner
NPI 1750006995
3920 CAPITAL MALL DR SW STE 200
Olympia, WA 98502
(360) 706-6400
✔ PECOS✔ Accepts Medicare31 mi
Kathryn De Rose
Nurse Practitioner
NPI 1053888529
3920 CAPITAL MALL DR SW STE 200
Olympia, WA 98502
(360) 596-4899
✔ PECOS31 mi
Stephen Doucet, M.D.
Family Practice
NPI 1235635376
3920 CAPITAL MALL DR SW STE 200
Olympia, WA 98502
(360) 706-6400
✔ PECOS✔ Accepts Medicare31 mi
Luming Feng, DO
Family Practice
NPI 1013202142
3920 CAPITAL MALL DR SW STE 2003920
Olympia, WA 98502
(360) 706-6400
✔ PECOS✔ Accepts Medicare31 mi
Noeru Okamura, D.O
Family Practice
NPI 1588058200
3920 CAPITAL MALL DR SW STE 200
Olympia, WA 98502
(360) 596-4899
✔ PECOS✔ Accepts Medicare31 mi
Aneesa Sataur, D.O.
Family Practice
NPI 1659745867
3920 CAPITAL MALL DR SW STE 200
Olympia, WA 98502
(360) 596-4899
✔ PECOS✔ Accepts Medicare31 mi
Natallia Tsesliukevich, M.D
Internal Medicine
NPI 1790049070
3900 CAPITAL MALL DR SW
Olympia, WA 98502
(360) 754-5858
✔ PECOS✔ Accepts Medicare31 mi
Shawna Purcell
Internal Medicine
NPI 1861683799
404 YAUGER WAY SW STE 100
Olympia, WA 98502
(360) 596-4614
✔ PECOS31 mi
Jonathan Jamito, MD
Internal Medicine
NPI 1538712880
1217 COOPER POINT RD SW # 2
Olympia, WA 98502
(360) 569-9690
✔ PECOS✔ Accepts Medicare31 mi
Mahesh Tubati, MD
Internal Medicine
NPI 1457086571
1217 COOPER POINT RD SW
Olympia, WA 98502
(605) 699-6903
✔ PECOS✔ Accepts Medicare31 mi
Andrea Repphun, MD
General Practice
NPI 1043383136
150 DENNIS ST SW
Tumwater, WA 98501
(360) 754-6367
✔ PECOS✔ Accepts Medicare33 mi
Diana Velikova, M.D.
Internal Medicine
NPI 1841295615
2555 MARVIN RD NE
Lacey, WA 98516
(360) 923-4600
✔ PECOS40 mi
See all 77 clinicians

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 Capital Medical Center Physicians LLC's NPI number?

The NPI number for Capital Medical Center Physicians LLC is 1710744792. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is doing business as Montesano Internal Medicine by MultiCare.

Where is Capital Medical Center Physicians LLC located?

Capital Medical Center Physicians LLC is located at 112 E Broadway Ave, Montesano, WA 98563. The listed phone number is (360) 249-4111.

What is Capital Medical Center Physicians LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Capital Medical Center Physicians LLC enrolled in Medicare?

Yes. Capital Medical Center Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capital Medical Center Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 77 clinicians in 5 Medicare specialties reassign their Medicare billing to Capital Medical Center Physicians LLC. 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 (40), Family Practice (26) and Internal Medicine (9). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Capital Medical Center Physicians LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Capital Medical Center Physicians LLC 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 Capital Medical Center Physicians LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.