PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1760636690
Neurological Surgery in Walla Walla, WA

Active since November 05, 2008
301 W POPLAR ST STE 50, WALLA WALLA, WA 99362(509) 522-1030(509) 526-8402 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2025, Feb 10, 2025, Aug 5, 2024 (3 updates tracked since 2024).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1760636690), doing business as Providence Medical Group Southeast Washington Neurosurgery, is a healthcare organization registered as a neurological surgery in Walla Walla, Washington and active in the NPI registry since November 2008. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1760636690
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address301 W POPLAR ST STE 50Walla Walla, WA 99362-2800
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114
Fax(509) 526-8402
Organization SubpartYes
Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateNovember 5, 2008
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1760636690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in WA · H-050
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
301 W POPLAR ST STE 50, Walla Walla, WA 99362

Other Names 1

Doing Business AsProvidence Medical Group Southeast Washington Neurosurgery

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

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

275

Medicare enrollment records show 275 clinicians reassign Medicare billing to Providence Health & Services - Washington, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 110 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 35

Neurology42
Nurse Practitioner33
Internal Medicine26
Physical Therapist in Private Practice19
Emergency Medicine17
Family Practice16
Hospitalist16
General Surgery12
27 other specialties94

Nearest to this location (20)

See all 275
Nurse Practitioner
NPI 1699000901
301 W POPLAR ST SUITE 100
Walla Walla, WA 99362
(509) 522-5824
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1407823701
301 W POPLAR ST SUITE 210
Walla Walla, WA 99362
(509) 522-5825
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477534972
301 W POPLAR ST STE 220
Walla Walla, WA 99362
(509) 897-8300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649802232
301 W POPLAR ST STE 110
Walla Walla, WA 99362
(509) 897-3556
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1417165382
301 W POPLAR ST SUITE 100
Walla Walla, WA 99362
(509) 522-5824
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1316031255
301 W POPLAR ST STE 220
Walla Walla, WA 99362
(509) 897-8959
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1235132978
301 W POPLAR ST STE 210
Walla Walla, WA 99362
(509) 897-5788
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1932123601
301 W POPLAR ST STE 100
Walla Walla, WA 99362
(509) 897-8100
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1790047868
301 W POPLAR ST STE 50
Walla Walla, WA 99362
(509) 897-8050
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1982610903
301 W POPLAR SUITE 210
Walla Walla, WA 99362
(509) 522-5825
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952091886
301 W POPLAR ST
Walla Walla, WA 99362
(509) 897-8050
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1861589350
410 W POPLAR ST. REHABILITATION SERVICES
Walla Walla, WA 99362
(509) 897-3320
✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1659756443
401 W POPLAR ST
Walla Walla, WA 99362
(509) 897-3320
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1720461502
401 W POPLAR ST
Walla Walla, WA 99362
(509) 897-2500
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1306473202
401 W POPLAR ST
Walla Walla, WA 99362
(503) 707-5536
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Medicine and Rehabilitation
NPI 1104576131
401 W POPLAR ST
Walla Walla, WA 99362
(509) 897-2390
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1124032511
401 W POPLAR
Walla Walla, WA 99362
(509) 522-5940
✔ PECOS✔ Accepts Medicare0.1 mi
Radiation Oncology
NPI 1801152160
401 W POPLAR ST
Walla Walla, WA 99362
(509) 897-5700
✔ PECOS✔ Accepts Medicare0.1 mi
Sleep Medicine
NPI 1235472325
401 W POPLAR ST
Walla Walla, WA 99362
(509) 897-2700
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1467815886
401 W POPLAR ST
Walla Walla, WA 99362
(509) 897-3320
✔ PECOS✔ Accepts Medicare0.1 mi
See all 275 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 1760636690. It was assigned to this organization in the NPPES registry on November 5, 2008. The provider is doing business as Providence Medical Group Southeast Washington Neurosurgery.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 301 W Poplar St Ste 50, Walla Walla, WA 99362. The listed phone number is (509) 522-1030.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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), 275 clinicians in 35 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 Neurology (42), Nurse Practitioner (33) and Internal Medicine (26). Of these, 11 practice at this address and 110 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, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.