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PUGET SOUND KIDNEY CENTERS
NPI 1881358984
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Poulsbo, WA

Active since October 25, 2021
19472 POWDER HILL PL NE STE 100, POULSBO, WA 98370(360) 598-9712(360) 930-0703 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Puget Sound Kidney Centers NPPES

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

PUGET SOUND KIDNEY CENTERS (NPI 1881358984), doing business as Puget Sound Kidney Center-poulsbo, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Poulsbo, Washington and active in the NPI registry since October 2021. The organization lists Harold Kelly, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1881358984
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePUGET SOUND KIDNEY CENTERS
Location Address19472 POWDER HILL PL NE STE 100Poulsbo, WA 98370-7473
Mailing Address1019 Pacific AveEverett, WA 98201-4148 · (425) 259-1884
Phone(360) 598-9712
Fax(360) 930-0703
Organization SubpartNo
Authorized OfficialHarold KellyPresident & Ceo · (425) 259-5195
Enumeration DateOctober 25, 2021
NPPES CertifiedOctober 22, 2021
✔ NPI 1881358984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
19472 POWDER HILL PL NE STE 100, Poulsbo, WA 98370
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Other Names 1

Doing Business AsPuget Sound Kidney Center-poulsbo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Puget Sound Kidney Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20210716001116Part A · End-Stage Renal Disease Facility (ESRD)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 Puget Sound Kidney Centers's NPI number?

The NPI number for Puget Sound Kidney Centers is 1881358984. It was assigned to this organization in the NPPES registry on October 25, 2021. The provider is doing business as Puget Sound Kidney Center-Poulsbo.

Where is Puget Sound Kidney Centers located?

Puget Sound Kidney Centers is located at 19472 Powder Hill Pl NE Ste 100, Poulsbo, WA 98370. The listed phone number is (360) 598-9712.

What is Puget Sound Kidney Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Puget Sound Kidney Centers enrolled in Medicare?

Yes. Puget Sound Kidney Centers is registered in the Medicare PECOS enrollment system.

When is Puget Sound Kidney Centers's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Washington, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by December 31, 2026. 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.

What insurance does Puget Sound Kidney Centers accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Puget Sound Kidney Centers 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 Puget Sound Kidney Centers was last updated on October 25, 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.