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UMBRELLA PEDIATRICS PC
NPI 1720772387
Pediatrics in Mountlake Terrace, WA

Active since June 06, 2023
23511 56TH AVE W STE 105, MOUNTLAKE TERRACE, WA 98043(206) 546-2421(206) 542-9028 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 5, 2024, Jun 6, 2023 (2 updates tracked since 2023).

About Umbrella Pediatrics Pc NPPES

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

UMBRELLA PEDIATRICS PC (NPI 1720772387), doing business as Seattle Children's Primary Care Group, is a healthcare organization registered as a pediatrics in Mountlake Terrace, Washington and active in the NPI registry since June 2023. The organization maintains a secondary practice location in Fircrest and lists Suzanne Vanderwerff, Vp Rev Cycle & Health Info Integ, as its authorized official.

NPPES Registry Identity

NPI1720772387
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameUMBRELLA PEDIATRICS PC
Location Address23511 56TH AVE W STE 105Mountlake Terrace, WA 98043-5285
Mailing Address4800 Sand Point Way NeSeattle, WA 98105-3901 · (206) 987-2000
Phone(206) 546-2421
Fax(206) 542-9028
Organization SubpartNo
Authorized OfficialSuzanne VanderwerffVp Rev Cycle & Health Info Integ · (206) 987-2000
Enumeration DateJune 6, 2023
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1720772387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
23511 56TH AVE W STE 105, Mountlake Terrace, WA 98043
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Other Names 2

Doing Business AsSeattle Children's Primary Care Group
Doing Business AsUmbrella Pediatric Pc

Secondary Practice Location 1

Location 11033 Regents Blvd Ste 102Fircrest, WA 98466-6089 · Phone (253) 564-1115 · Fax (253) 565-8842

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 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)

Umbrella Pediatrics Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Umbrella Pediatrics PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Pediatric Medicine11
Nurse Practitioner1

Clinicians, nearest first (12)

Kaberi Dannemiller, NP
Nurse Practitioner
NPI 1609107655
23511 56TH AVE W STE 105
Mountlake Terrace, WA 98043
(206) 546-2421
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Ernst, MD
Pediatric Medicine
NPI 1790721736
23511 56TH AVE W STE 105
Mountlake Terrace, WA 98043
(206) 546-2421
✔ PECOSSame address
Gieselle Falkenberg, MD
Pediatric Medicine
NPI 1598791576
23511 56TH AVE W STE 105
Mountlake Terrace, WA 98043
(206) 546-2421
✔ PECOS✔ Accepts MedicareSame address
Melissa Walsh, MD
Pediatric Medicine
NPI 1275644874
23511 56TH AVE W STE 105
Mountlake Terrace, WA 98043
(206) 546-2421
✔ PECOSSame address
Anne Reese, MD
Pediatric Medicine
NPI 1053356303
357 NW RICHMOND BEACH RD RICHMOND PEDIATRICS
Shoreline, WA 98177
(206) 546-2421
✔ PECOS3.0 mi
David De Give, M.D.
Pediatric Medicine
NPI 1902105174
357 NW RICHMOND BEACH RD
Shoreline, WA 98177
(206) 546-2421
✔ PECOS3.0 mi
Jason Mckerry, MD
Pediatric Medicine
NPI 1407081458
7520 TOTEM BEACH RD
Tulalip, WA 98271
(360) 716-4511
✔ PECOS20 mi
Jessica Ebberson
Pediatric Medicine
NPI 1932342649
100 NE GILMAN BLVD
Issaquah, WA 98027
(425) 557-8000
✔ PECOS21 mi
Brian Que, MD
Pediatric Medicine
NPI 1326169319
1400 POTTERY AVE
Port Orchard, WA 98366
(360) 895-5000
✔ PECOS24 mi
Malgorzata Skarzynska, M.D.
Pediatric Medicine
NPI 1477841302
1033 REGENTS BLVD STE 102
Fircrest, WA 98466
(253) 564-1115
✔ PECOS39 mi
Megan Struthers, M.D.
Pediatric Medicine
NPI 1144361114
1033 REGENTS BLVD STE 102
Fircrest, WA 98466
(253) 564-1115
✔ PECOS39 mi
Yu-Hsiang Lin, M.D.
Pediatric Medicine
NPI 1821318312
6344 TOPANGA CANYON BLVD STE 2040
Woodland Hills, CA 91367
(818) 610-0292
✔ PECOS958 mi

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 Umbrella Pediatrics PC's NPI number?

The NPI number for Umbrella Pediatrics PC is 1720772387. It was assigned to this organization in the NPPES registry on June 6, 2023. The provider is doing business as Seattle Children's Primary Care Group and Umbrella Pediatric PC.

Where is Umbrella Pediatrics PC located?

Umbrella Pediatrics PC is located at 23511 56th Ave W Ste 105, Mountlake Terrace, WA 98043. The listed phone number is (206) 546-2421.

What is Umbrella Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Umbrella Pediatrics PC enrolled in Medicare?

Yes. Umbrella Pediatrics PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Umbrella Pediatrics PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Umbrella Pediatrics PC. 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 Pediatric Medicine (11) and Nurse Practitioner (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Umbrella Pediatrics PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Umbrella Pediatrics PC 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 Umbrella Pediatrics PC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.