PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1922259738
Family Medicine in Walla Walla, WA
About Providence Health & Services - Washington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1922259738), doing business as Providence Medical Group Southeast Washington, is a healthcare organization registered as a family medicine in Walla Walla, Washington and active in the NPI registry since October 2008. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Other Identifiers 2
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)
Providence Health & Services - Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
359Medicare enrollment records show 359 clinicians reassign Medicare billing to Providence Health & Services - Washington, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 110 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 37
Nearest to this location (20)
See all 359Walla Walla, WA 99362
Walla Walla, WA 99362
Walla Walla, WA 99362
Walla Walla, WA 99362
Walla Walla, WA 99362
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 Providence Health & Services - Washington's NPI number?
The NPI number for Providence Health & Services - Washington is 1922259738. It was assigned to this organization in the NPPES registry on October 10, 2008. The provider is doing business as Providence Medical Group Southeast Washington.
Where is Providence Health & Services - Washington located?
Providence Health & Services - Washington is located at 380 Chase Avenue Pmg SE Wa, Walla Walla, WA 99362. The listed phone number is (509) 526-3333.
What is Providence Health & Services - Washington's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Providence Health & Services - Washington enrolled in Medicare?
Yes. Providence Health & Services - Washington is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Providence Health & Services - Washington?
According to the CMS Revalidation Reassignment List (October 2026 release), 359 clinicians in 37 Medicare specialties reassign their Medicare billing to Providence Health & Services - Washington. 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 Neurology (74), Internal Medicine (37) and Nurse Practitioner (33). Of these, 22 practice at this address and 110 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Health & Services - Washington accept?
Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services - Washington 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 Providence Health & Services - Washington was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Providence Health & Services - Washington · NPI 1922259738
Family Medicine organization in Walla Walla, Washington. Organization record, active in the CMS NPPES registry since October 10, 2008.
## Identity
- **NPI:** 1922259738 (Entity type: Organization)
- **Enumerated:** October 10, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Providence Medical Group Southeast Washington (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 380 CHASE AVENUE, PMG SE WA, Walla Walla, WA 99362-2924
- **Phone:** (509) 526-3333 · **Fax:** (509) 526-8402
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 359 clinicians in 37 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (74), Internal Medicine (37), Nurse Practitioner (33); 22 practice at this address and 110 within 10 miles; [full list](https://npiprofile.com/npi/1922259738/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2026
- **Other identifiers:** Other 115284 (WA); Medicaid 7028186 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1922259738) · Data from the CMS NPPES public registry.