PROVIDENCE HEALTH & SERVICES-WA
NPI 1831499755
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Everett, WA

Active since October 26, 2010
1330 ROCKEFELLER AVE, SUITE 225, EVERETT, WA 98201(425) 261-4960(425) 225-1001 Get Directions Write a Review

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

About Providence Health & Services-wa NPPES

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

PROVIDENCE HEALTH & SERVICES-WA (NPI 1831499755), doing business as Providence Physician Group- Neurosurgery And Spine Clinic, is a healthcare organization registered as an orthopaedic surgery of the spine in Everett, Washington and active in the NPI registry since October 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1831499755
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NamePROVIDENCE HEALTH & SERVICES-WA
Location Address1330 ROCKEFELLER AVE, SUITE 225Everett, WA 98201-1684
Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (425) 525-6652 · Fax (425) 525-6700
Fax(425) 225-1001
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 26, 2010
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1831499755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
1330 ROCKEFELLER AVE, Everett, WA 98201

Other Names 1

Doing Business AsProvidence Physician Group- Neurosurgery And Spine Clinic

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

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-wa 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-Wa, which bills Medicare for the services they deliver. Of these, 39 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
Gastroenterology
NPI 1811378235
1330 ROCKEFELLER AVE STE 450
Everett, WA 98201
(425) 386-0695
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1396199071
1330 ROCKEFELLER AVE STE 520
Everett, WA 98201
(425) 316-5440
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1902121635
1330 ROCKEFELLER AVE STE 520
Everett, WA 98201
(425) 297-5200
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1962415430
1330 ROCKEFELLER AVE STE 310
Everett, WA 98201
(425) 297-5359
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1699094359
1330 ROCKEFELLER AVE STE 310
Everett, WA 98201
(425) 261-4925
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1639734130
1330 ROCKEFELLER AVE STE 210
Everett, WA 98201
(425) 261-4905
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1215134697
1330 ROCKEFELLER STE 520
Everett, WA 98201
(425) 297-5200
✔ PECOS✔ Accepts MedicareSame address
Cardiac Surgery
NPI 1144276106
1330 ROCKEFELLER AVE SUITE 400
Everett, WA 98201
(425) 261-4950
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1962518472
1330 ROCKEFELLER AVE SUITE 520
Everett, WA 98201
(425) 261-4605
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1922044973
1330 ROCKEFELLER AVE STE 120
Everett, WA 98201
(425) 339-5442
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1891967683
1330 ROCKEFELLER AVE SUITE 230
Everett, WA 98201
(425) 261-4925
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801632567
1330 ROCKEFELLER AVE STE 140
Everett, WA 98201
(425) 261-4210
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1356435184
1330 ROCKEFELLER AVE SUITE 230
Everett, WA 98201
(425) 261-4940
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1437273034
1330 ROCKEFELLER AVE STE 310
Everett, WA 98201
(254) 297-5350
✔ Accepts MedicareSame address
Surgical Oncology
NPI 1821355793
1330 ROCKEFELLER AVE
Everett, WA 98201
(425) 339-5442
✔ PECOS✔ Accepts MedicareSame address
Undefined Physician Type (Specify)
NPI 1134189699
1330 ROCKEFELLER AVE SUITE 400
Everett, WA 98201
(425) 261-4950
✔ PECOSSame address
Orthopedic Surgery
NPI 1235244054
1330 ROCKEFELLER AVE SUITE 310
Everett, WA 98201
(425) 339-5476
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1326535543
1700 13TH ST
Everett, WA 98201
(425) 259-0212
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1639819675
1700 13TH ST
Everett, WA 98201
(713) 870-8189
✔ PECOS✔ Accepts MedicareSame address
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-Wa's NPI number?

The NPI number for Providence Health & Services-Wa is 1831499755. It was assigned to this organization in the NPPES registry on October 26, 2010. The provider is doing business as Providence Physician Group- Neurosurgery and Spine Clinic.

Where is Providence Health & Services-Wa located?

Providence Health & Services-Wa is located at 1330 Rockefeller Ave Suite 225, Everett, WA 98201. The listed phone number is (425) 261-4960.

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

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Providence Health & Services-Wa enrolled in Medicare?

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

How many clinicians bill Medicare through Providence Health & Services-Wa?

According to the CMS Revalidation Reassignment List (October 2026 release), 702 clinicians in 49 Medicare specialties reassign their Medicare billing to Providence Health & Services-Wa. 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, 39 practice at this address and 338 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Health & Services-Wa was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.