SEATTLE SPORTS & REGENERATIVE MEDICINE PLLC
NPI 1871020933
Family Medicine in Seattle, WA
About Seattle Sports & Regenerative Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEATTLE SPORTS & REGENERATIVE MEDICINE PLLC (NPI 1871020933) is a healthcare organization registered as a family medicine in Seattle, Washington and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mark D Wagner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Seattle Sports & Regenerative Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Seattle Sports & Regenerative Medicine PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 of Waiver 50D2133780
Seattle Sports And Regenerative Medicine · Seattle, 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 Seattle Sports & Regenerative Medicine PLLC's NPI number?
The NPI number for Seattle Sports & Regenerative Medicine PLLC is 1871020933. It was assigned to this organization in the NPPES registry on May 18, 2017.
Where is Seattle Sports & Regenerative Medicine PLLC located?
Seattle Sports & Regenerative Medicine PLLC is located at 1000 Dexter Ave N Ste 320, Seattle, WA 98109. The listed phone number is (206) 999-8556.
What is Seattle Sports & Regenerative Medicine PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Seattle Sports & Regenerative Medicine PLLC enrolled in Medicare?
Yes. Seattle Sports & Regenerative Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Seattle Sports & Regenerative Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Seattle Sports & Regenerative Medicine PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Seattle Sports & Regenerative Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2133780) 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 Seattle Sports & Regenerative Medicine PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Seattle Sports & Regenerative Medicine 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 Seattle Sports & Regenerative Medicine PLLC was last updated on October 7, 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.
# Seattle Sports & Regenerative Medicine Pllc · NPI 1871020933
Family Medicine organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since May 18, 2017.
## Identity
- **NPI:** 1871020933 (Entity type: Organization)
- **Enumerated:** May 18, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mark Wagner, OWNER
## Practice location
- **Address:** 1000 DEXTER AVE N STE 320, Seattle, WA 98109-4878
- **Phone:** (206) 999-8556
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871020933) · Data from the CMS NPPES public registry.