NORTH ISLAND MEDICAL
NPI 1881021905
Clinic/Center - Primary Care in Oak Harbor, WA

Active since October 03, 2013CLIA 50D2073242 · Waiver
135 SOUTH EAST ELY ST., OAK HARBOR, WA 98277(360) 682-5444(360) 682-5639 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Island Medical NPPES

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

NORTH ISLAND MEDICAL (NPI 1881021905) is a healthcare organization registered as a primary care in Oak Harbor, Washington and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mark Richard Duncan, Partner, as its authorized official.

NPPES Registry Identity

NPI1881021905
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOAK HARBOR PRIMARY CARE PLLC
Location Address135 SOUTH EAST ELY ST.Oak Harbor, WA 98277-9031
Mailing Address135 Se Ely St.Oak Harbor, WA 98277-9031 · (360) 682-5444 · Fax (360) 682-5639
Fax(360) 682-5639
Organization SubpartNo
Authorized OfficialMark Richard DuncanPartner · (360) 929-4936
Enumeration DateOctober 3, 2013
✔ NPI 1881021905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WA · 201232264714
135 SOUTH EAST ELY ST., Oak Harbor, WA 98277

Other Names 1

Doing Business AsNorth Island Medical

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)

North Island Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to North Island Medical, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1003894007
165 SE ELY ST
Oak Harbor, WA 98277
(360) 678-6576
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811735707
165 SE ELY ST
Oak Harbor, WA 98277
(360) 682-5444
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548242928
165 SE ELY ST
Oak Harbor, WA 98277
(360) 682-5444
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598713919
5577 VANBARR PL
Freeland, WA 98249
(360) 331-3343
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1982714879
46314 TIMINE WAY
Pendleton, OR 97801
(541) 966-9830
✔ PECOS✔ Accepts Medicare261 mi

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 50D2073242

North Island Medical · Oak Harbor, WA
Active · expires Apr 4, 2028
CLIA Number50D2073242
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDan Fisher
Laboratory Phone(360) 682-5444
Laboratory LocationNorth Island Medical165 SE Ely St, Oak Harbor, WA 98277
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Oak Harbor Primary Care PLLC's NPI number?

The NPI number for Oak Harbor Primary Care PLLC is 1881021905. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as North Island Medical.

Where is Oak Harbor Primary Care PLLC located?

Oak Harbor Primary Care PLLC is located at 135 South East Ely St., Oak Harbor, WA 98277. The listed phone number is (360) 682-5444.

What is Oak Harbor Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Oak Harbor Primary Care PLLC enrolled in Medicare?

Yes. Oak Harbor Primary Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oak Harbor Primary Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Oak Harbor Primary Care 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. The largest specialties are Family Practice (3), Internal Medicine (1) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Oak Harbor Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2073242) 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 Oak Harbor Primary Care PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Oak Harbor Primary Care 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 Oak Harbor Primary Care PLLC was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.