NORTHSHORE FAMILY PRACTICE PLLC
NPI 1811167620
Family Medicine in Bothell, WA
About Northshore Family Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSHORE FAMILY PRACTICE PLLC (NPI 1811167620) is a healthcare organization registered as a family medicine in Bothell, Washington and active in the NPI registry since March 2008. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Barbara S Mendrey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northshore Family Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Northshore Family Practice PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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
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 for Provider-Performed Microscopy Procedures (PPMP) 50D0993442
Northshore Family Practice PLLC · Bothell, WAFrequently 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 Northshore Family Practice PLLC's NPI number?
The NPI number for Northshore Family Practice PLLC is 1811167620. It was assigned to this organization in the NPPES registry on March 7, 2008.
Where is Northshore Family Practice PLLC located?
Northshore Family Practice PLLC is located at 12900 NE 180th St, Bothell, WA 98011. The listed phone number is (425) 424-2100.
What is Northshore Family Practice PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Northshore Family Practice PLLC enrolled in Medicare?
Yes. Northshore Family Practice PLLC is registered in the Medicare PECOS enrollment system.
When is Northshore Family Practice PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northshore Family Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northshore Family Practice PLLC, in Addiction Medicine, Family Practice and Nurse Practitioner. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northshore Family Practice PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0993442) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Northshore Family Practice PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Northshore Family Practice PLLC 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 Northshore Family Practice PLLC was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Northshore Family Practice Pllc · NPI 1811167620
Family Medicine organization in Bothell, Washington. Organization record, active in the CMS NPPES registry since March 7, 2008.
## Identity
- **NPI:** 1811167620 (Entity type: Organization)
- **Enumerated:** March 7, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Barbara Mendrey, OWNER
## Practice location
- **Address:** 12900 NE 180TH ST, Bothell, WA 98011-5773
- **Phone:** (425) 424-2100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Addiction Medicine (1), Family Practice (1), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1811167620) · Data from the CMS NPPES public registry.