PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1821249939
Family Medicine in Everett, WA

Active since October 07, 2008
12800 BOTHELL EVERETT HWY, SUITE 160, EVERETT, WA 98208(425) 316-5180(425) 316-5181 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2025, Mar 21, 2025, Apr 8, 2021 (3 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 1821249939), doing business as Pmg Nw Wa Mc Family Medicine, is a healthcare organization registered as a family medicine in Everett, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1821249939
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address12800 BOTHELL EVERETT HWY, SUITE 160Everett, WA 98208-6644
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Fax(425) 316-5181
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 7, 2008
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1821249939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedRadiologic Technologist · Bone DensitometryTaxonomy 2471B0102X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
12800 BOTHELL EVERETT HWY, Everett, WA 98208

Other Names 1

Doing Business AsPmg Nw Wa Mc Family Medicine

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

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, 21 practice at this address and 363 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
Nurse Practitioner
NPI 1699056036
12800 BOTHELL-EVERETT HWY SUITE 180
Everett, WA 98208
(425) 316-5130
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1669430146
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5130
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1467553529
12800 BOTHELL EVERETT HWY SUITE 190
Everett, WA 98208
(425) 316-5160
✔ PECOSSame address
Pediatric Medicine
NPI 1346341377
12800 BOTHELL EVERETT HWY SUITE 190
Everett, WA 98208
(425) 316-5160
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518269059
12800 BOTHELL EVERETT HWY SUITE 260
Everett, WA 98208
(425) 316-5080
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1679680441
12800 BOTHELL EVERETT HWY SUITE 260
Everett, WA 98208
(425) 316-5080
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1194470013
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5062
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1124129648
12800 BOTHELL EVERETT HWY SUITE 190
Everett, WA 98208
(425) 316-5160
✔ PECOSSame address
Plastic and Reconstructive Surgery
NPI 1285876185
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5080
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235160474
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5150
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922503366
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5180
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235399809
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5180
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992858377
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5150
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1992814651
12800 BOTHELL EVERETT HWY SUITE 260
Everett, WA 98208
(425) 316-5080
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1003105867
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5100
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1477965507
12800 BOTHELL EVERETT HWY STE 250
Everett, WA 98208
(425) 316-5440
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1497819718
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5062
✔ PECOSSame address
Pediatric Medicine
NPI 1689092264
12800 BOTHELL EVERETT HWY
Everett, WA 98208
(425) 316-5160
✔ PECOSSame address
Pediatric Medicine
NPI 1154412955
12800 BOTHELL EVERETT HWY SUITE 190
Everett, WA 98208
(425) 316-5160
✔ PECOSSame address
Internal Medicine
NPI 1790790582
12800 BOTHELL EVERETT HWY SUITE 180
Everett, WA 98208
(425) 316-5130
✔ 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 1821249939. It was assigned to this organization in the NPPES registry on October 7, 2008. The provider is doing business as PMG NW WA MC Family Medicine.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 12800 Bothell Everett Hwy Suite 160, Everett, WA 98208. The listed phone number is (425) 316-5180.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 21 practice at this address and 363 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, 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 14, 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.