1. Home
  2. Directory
  3. Washington
  4. Everett
  5. Obstetrics Gynecology
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1750520516
Obstetrics & Gynecology - Gynecologic Oncology in Everett, WA

Active since February 18, 2009
1717 13TH STREET, SUITE 300, EVERETT, WA 98201(425) 297-5660(425) 297-5505 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 9, 2025, Mar 21, 2025, Mar 1, 2021 and 1 more (4 updates tracked since 2021).

About Providence Health & Services Washington NPPES

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

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1750520516), doing business as Pmg Nw Wa Gynecologic Oncology Associates, is a healthcare organization registered as a gynecologic oncology in Everett, Washington and active in the NPI registry since February 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1750520516
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address1717 13TH STREET, SUITE 300Everett, WA 98201-1621
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Phone(425) 297-5660
Fax(425) 297-5505
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateFebruary 18, 2009
Last NPPES UpdateMay 9, 20254 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1750520516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
1717 13TH STREET, Everett, WA 98201
Open in Google Maps ↗

Other Names 1

Doing Business AsPmg Nw Wa Gynecologic Oncology Associates

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 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)

Providence Health & Services Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

702

Medicare enrollment records show 702 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 338 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner108
Internal Medicine90
Family Practice63
Emergency Medicine61
Neurology56
Hospitalist35
General Surgery29
Cardiovascular Disease (Cardiology)24
41 other specialties236

Nearest to this location (20)

See all 702
Jedediah Doane
Hospitalist
NPI 1124657903
1717 13TH ST
Everett, WA 98201
(425) 297-5560
✔ PECOS✔ Accepts MedicareSame address
Dara Headrick, DO
Physical Medicine and Rehabilitation
NPI 1912963711
1717 13TH ST STE 401
Everett, WA 98201
(425) 261-4910
✔ PECOS✔ Accepts MedicareSame address
Martin Holland, M.D.
Neurosurgery
NPI 1780657601
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Forrest Hsu, M.D.
Neurosurgery
NPI 1346546322
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Ajay Kundra, MD
Internal Medicine
NPI 1649291592
1717 13TH ST STE 300
Everett, WA 98201
(425) 297-5560
✔ PECOS✔ Accepts MedicareSame address
Amy Liu, M.D.
Hospitalist
NPI 1548654023
1717 13TH ST
Everett, WA 98201
(425) 297-5500
✔ PECOS✔ Accepts MedicareSame address
Amir Mehrvarz Sarshekeh, M.D
Medical Oncology
NPI 1649697707
1717 13TH ST STE 300
Everett, WA 98201
(713) 566-4550
✔ PECOS✔ Accepts MedicareSame address
Daniel Nguyen
Physical Medicine and Rehabilitation
NPI 1861020299
1717 13TH ST STE 401
Everett, WA 98201
(425) 261-4910
✔ PECOS✔ Accepts MedicareSame address
Devin Prior, MD
Neurology
NPI 1548657000
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Eugene Shchytou, ARNP
Nurse Practitioner
NPI 1063074169
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-5660
✔ PECOS✔ Accepts MedicareSame address
Irina Shtanko, NP
Nurse Practitioner
NPI 1477141059
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Ruth Thiex, M.D. PH.D.
Neurosurgery
NPI 1912230988
1717 13TH ST STE 401
Everett, WA 98201
(425) 297-6400
✔ PECOS✔ Accepts MedicareSame address
Kristin Wilcox, CNP
Nurse Practitioner
NPI 1306293337
1717 13TH ST STE 210
Everett, WA 98201
(425) 297-5660
✔ PECOS✔ Accepts MedicareSame address
Shaina Schaetzel, M.D.
General Surgery
NPI 1801038161
1300 ROCKEFELLER AVE SUITE 120
Everett, WA 98201
(425) 339-5442
✔ PECOS✔ Accepts MedicareSame address
Henry Ackerman, MD
Emergency Medicine
NPI 1649965682
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
Christopher Fong, MD
Emergency Medicine
NPI 1427685254
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
Zachary Forcade, MD
Emergency Medicine
NPI 1568959559
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
Vincent Lock, DO
Hospitalist
NPI 1639819675
1700 13TH ST
Everett, WA 98201
(713) 870-8189
✔ PECOS✔ Accepts MedicareSame address
Katherine Miotke, DO
Internal Medicine
NPI 1538819479
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
Alexis Steinhart, MD
Psychiatry
NPI 1174144265
1700 13TH ST
Everett, WA 98201
(425) 261-2000
✔ PECOS✔ Accepts MedicareSame address
See all 702 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 Providence Health & Services Washington's NPI number?

The NPI number for Providence Health & Services Washington is 1750520516. It was assigned to this organization in the NPPES registry on February 18, 2009. The provider is doing business as PMG NW WA Gynecologic Oncology Associates.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 1717 13th Street Suite 300, Everett, WA 98201. The listed phone number is (425) 297-5660.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Providence Health & Services Washington enrolled in Medicare?

Yes. Providence Health & Services Washington is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Washington?

According to the CMS Revalidation Reassignment List (October 2026 release), 702 clinicians in 49 Medicare specialties reassign their Medicare billing to Providence Health & Services Washington. 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 (108), Internal Medicine (90) and Family Practice (63). Of these, 29 practice at this address and 338 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services Washington accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Providence Health & Services Washington 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 Providence Health & Services Washington was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.