TUMWATER FAMILY PRACTICE CLINIC
NPI 1881638559
Family Medicine in Tumwater, WA
About Tumwater Family Practice Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TUMWATER FAMILY PRACTICE CLINIC (NPI 1881638559) is a healthcare organization registered as a family medicine in Tumwater, Washington and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jennifer L Tyler, Clinc Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tumwater Family Practice Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Tumwater Family Practice Clinic, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 50D0636701
Tumwater Family Practice Clinic By Multicare · Tumwater, 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 Tumwater Family Practice Clinic's NPI number?
The NPI number for Tumwater Family Practice Clinic is 1881638559. It was assigned to this organization in the NPPES registry on June 15, 2006.
Where is Tumwater Family Practice Clinic located?
Tumwater Family Practice Clinic is located at 150 Dennis St SW, Tumwater, WA 98501. The listed phone number is (360) 754-3637.
What is Tumwater Family Practice Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tumwater Family Practice Clinic enrolled in Medicare?
Yes. Tumwater Family Practice Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tumwater Family Practice Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Tumwater Family Practice Clinic. 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 (6), Family Practice (4) and General Practice (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tumwater Family Practice Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D0636701) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tumwater Family Practice Clinic was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Tumwater Family Practice Clinic · NPI 1881638559
Family Medicine organization in Tumwater, Washington. Organization record, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1881638559 (Entity type: Organization)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Tyler, CLINC ADMINISTRATOR
## Practice location
- **Address:** 150 DENNIS ST SW, Tumwater, WA 98501-5459
- **Phone:** (360) 754-3637 · **Fax:** (360) 754-6429
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (4), General Practice (1); 8 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2009
- **Other identifiers:** Medicaid 7022346 (WA); Other 77100 (WA); Medicare PIN 001050500
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881638559) · Data from the CMS NPPES public registry.