PACIFICA MEDICINE AND WELLNESS
NPI 1982073235
Family Medicine in Poulsbo, WA

Active since September 16, 2015
19036 FRONT ST NE # 100, POULSBO, WA 98370(360) 979-0569 Get Directions Write a Review

NPPES record last updated: July 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2024, Apr 10, 2019 (2 updates tracked since 2019).

About Pacifica Medicine And Wellness NPPES

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

PACIFICA MEDICINE AND WELLNESS (NPI 1982073235) is a healthcare organization registered as a family medicine in Poulsbo, Washington and active in the NPI registry since September 2015. The organization maintains a secondary practice location in Bainbridge Island and lists Marie Elaine Matty, President, as its authorized official.

NPPES Registry Identity

NPI1982073235
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHYMIYMATTYMD LLC
Location Address19036 FRONT ST NE # 100Poulsbo, WA 98370-7354
Mailing AddressPo Box 2940Poulsbo, WA 98370-2940 · (360) 979-0569 · Fax (877) 805-9505
Organization SubpartNo
Authorized OfficialMarie Elaine MattyPresident · (360) 979-0569
Enumeration DateSeptember 16, 2015
Last NPPES UpdateJuly 27, 20242 updates tracked since enumeration
NPPES CertifiedJuly 27, 2024
✔ NPI 1982073235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00041619
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19036 FRONT ST NE # 100, Poulsbo, WA 98370

Other Names 1

Doing Business AsPacifica Medicine And Wellness

Secondary Practice Location 1

Location 11173 Madison Ave NBainbridge Island, WA 98110-1782 · Phone (360) 979-0569

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacifica Medicine And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Pacifica Medicine And Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Family Practice
NPI 1871543900
19036 FRONT ST NE STE 100
Poulsbo, WA 98370
(360) 979-0569
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285297275
19980 10TH AVE NE STE 202
Poulsbo, WA 98370
(360) 979-0569
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1679629661
19980 10TH AVE NE STE 202
Poulsbo, WA 98370
(360) 979-0569
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1740224880
19980 10TH AVE NE STE 202
Poulsbo, WA 98370
(360) 979-0569
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1174282503
1173 MADISON AVE N
Bainbridge Island, WA 98110
(360) 377-3776
✔ PECOS✔ Accepts Medicare9.1 mi
Nurse Practitioner
NPI 1023733326
1173 MADISON AVE N
Bainbridge Island, WA 98110
(360) 979-0569
✔ PECOS✔ Accepts Medicare9.1 mi
Family Practice
NPI 1780662171
1344 WINTERGREEN LN NE
Bainbridge Island, WA 98110
(206) 201-0488
✔ PECOS✔ Accepts Medicare9.2 mi
Nurse Practitioner
NPI 1649680695
1344 WINTERGREEN LN NE
Bainbridge Island, WA 98110
(206) 842-5632
✔ PECOS✔ Accepts Medicare9.2 mi
Family Practice
NPI 1184863193
945 HILDEBRAND LN NE STE 100
Bainbridge Island, WA 98110
(206) 991-2121
✔ PECOS✔ Accepts Medicare9.4 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 Chymiymattymd LLC's NPI number?

The NPI number for Chymiymattymd LLC is 1982073235. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider is doing business as Pacifica Medicine And Wellness.

Where is Chymiymattymd LLC located?

Chymiymattymd LLC is located at 19036 Front St NE # 100, Poulsbo, WA 98370. The listed phone number is (360) 979-0569.

What is Chymiymattymd LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Chymiymattymd LLC enrolled in Medicare?

Yes. Chymiymattymd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chymiymattymd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Chymiymattymd LLC. 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 (5) and Nurse Practitioner (4). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Chymiymattymd LLC accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Chymiymattymd LLC 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 Chymiymattymd LLC was last updated on July 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.