MILL CREEK SPINE AND INJURY, INC., P.S.
NPI 1982124046
Chiropractor in Lake Stevens, WA

Active since June 21, 2017
1112 76TH AVE NE, LAKE STEVENS, WA 98258(425) 344-6835 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Mill Creek Spine And Injury, Inc., P.s. NPPES

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

MILL CREEK SPINE AND INJURY, INC., P.S. (NPI 1982124046) is a healthcare organization registered as a chiropractor in Lake Stevens, Washington and active in the NPI registry since June 2017. The organization lists Ryan L Doerge, Owner, as its authorized official.

NPPES Registry Identity

NPI1982124046
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMILL CREEK SPINE AND INJURY, INC., P.S.
Location Address1112 76TH AVE NELake Stevens, WA 98258-3201
Mailing Address1112 76th Ave NeLake Stevens, WA 98258-3201 · (425) 344-6835
Organization SubpartNo
Authorized OfficialRyan L DoergeOwner · (425) 280-9980
Enumeration DateJune 21, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1982124046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1112 76TH AVE NE, Lake Stevens, WA 98258

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)

Mill Creek Spine And Injury, Inc., P.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mill Creek Spine And Injury, Inc., P.S., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1588305254
16212 BOTHELL EVERETT HWY STE E
Mill Creek, WA 98012
(425) 745-4430
✔ Accepts Medicare12 mi
Chiropractic
NPI 1811182066
10024 MAIN ST STE 2C
Bothell, WA 98011
(425) 485-1413
✔ Accepts Medicare17 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 Mill Creek Spine And Injury, Inc., P.S.'s NPI number?

The NPI number for Mill Creek Spine And Injury, Inc., P.S. is 1982124046. It was assigned to this organization in the NPPES registry on June 21, 2017.

Where is Mill Creek Spine And Injury, Inc., P.S. located?

Mill Creek Spine And Injury, Inc., P.S. is located at 1112 76th Ave NE, Lake Stevens, WA 98258. The listed phone number is (425) 344-6835.

What is Mill Creek Spine And Injury, Inc., P.S.'s specialty?

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

Is Mill Creek Spine And Injury, Inc., P.S. enrolled in Medicare?

Yes. Mill Creek Spine And Injury, Inc., P.S. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mill Creek Spine And Injury, Inc., P.S.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Mill Creek Spine And Injury, Inc., 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 Mill Creek Spine And Injury, Inc., P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mill Creek Spine And Injury, Inc., 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 Mill Creek Spine And Injury, Inc., P.S. was last updated on July 21, 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.