PARKSIDE SPINE CARE
NPI 1912030149
Chiropractor in Lynnwood, WA

Q: What is M Jay Campbell D C P S's NPI number?

The NPI number for M Jay Campbell D C P S is 1912030149. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is also known as Parkside Spine Care.

Q: What is M Jay Campbell D C P S's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since March 14, 2007

19125 33RD AVE W STE D, LYNNWOOD, WA 98036(425) 776-8787(425) 776-1349 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 24, 2022, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Parkside Spine Care NPPES

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

PARKSIDE SPINE CARE (NPI 1912030149) is a healthcare organization registered as a chiropractor in Lynnwood, Washington and active in the NPI registry since March 2007. The organization lists Matthew Jay Campbell, President, as its authorized official.

NPPES Registry Identity

NPI1912030149

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameM JAY CAMPBELL D C P S

Location Address19125 33RD AVE W STE DLynnwood, WA 98036-4735

Mailing Address19125 33rd Ave W Ste DLynnwood, WA 98036-4735 · (425) 776-8787 · Fax (425) 776-1349

Phone(425) 776-8787

Fax(425) 776-1349

Organization SubpartNo

Authorized OfficialMatthew Jay CampbellPresident · (425) 776-8787

Enumeration DateMarch 14, 2007

Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration

NPPES CertifiedAugust 24, 2022

✔ NPI 1912030149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · CH00002411

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

19125 33RD AVE W STE D, Lynnwood, WA 98036

Open in Google Maps ↗

Other Names 1

Other NameParkside Spine Care

Other Identifiers 1

Other58889WA · Labor & Industries

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

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 the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Parkside Spine Care 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 Parkside Spine Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Campbell, D.C.

Chiropractic

NPI 1801956917

19009 33RD AVE W 205
Lynnwood, WA 98036

(425) 776-8787

✔ Accepts Medicare0.1 mi

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 M Jay Campbell D C P S's NPI number?

The NPI number for M Jay Campbell D C P S is 1912030149. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is also known as Parkside Spine Care.

Where is M Jay Campbell D C P S located?

M Jay Campbell D C P S is located at 19125 33rd Ave W Ste D, Lynnwood, WA 98036. The listed phone number is (425) 776-8787.

What is M Jay Campbell D C P S's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is M Jay Campbell D C P S enrolled in Medicare?

Yes. M Jay Campbell D C P S is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M Jay Campbell D C P S?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to M Jay Campbell D C P S. 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.

What insurance does M Jay Campbell D C P S accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list M Jay Campbell D C P S 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 M Jay Campbell D C P S was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.