WASHINGTON PAIN AND SPINE SPECIALISTS LLC
NPI 1992486906
Clinic/Center - Pain in Olympia, WA

Active since July 31, 2023
3525 ENSIGN RD NE STE J, OLYMPIA, WA 98506(240) 463-4101 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Washington Pain And Spine Specialists Llc NPPES

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

WASHINGTON PAIN AND SPINE SPECIALISTS LLC (NPI 1992486906) is a healthcare organization registered as a pain in Olympia, Washington and active in the NPI registry since July 2023. The organization lists Praveen Kumar Mambalam, Owner, as its authorized official.

NPPES Registry Identity

NPI1992486906
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameWASHINGTON PAIN AND SPINE SPECIALISTS LLC
Location Address3525 ENSIGN RD NE STE JOlympia, WA 98506-5065
Mailing Address4957 Lakemont Blvd Se Ste C-425Bellevue, WA 98006-7801 · (240) 463-4101
Organization SubpartNo
Authorized OfficialPraveen Kumar MambalamOwner · (240) 463-4101
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1992486906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
3525 ENSIGN RD NE STE J, Olympia, WA 98506

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)

Washington Pain And Spine Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Washington Pain And Spine Specialists LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Pain Management
NPI 1891954293
1628 S MILDRED ST STE 102
Tacoma, WA 98465
(206) 538-6300
✔ PECOS✔ Accepts Medicare20 mi
Interventional Radiology
NPI 1902149339
2502 S UNION AVE
Tacoma, WA 98405
(253) 841-4653
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1780190066
1660 S COLUMBIAN WAY
Seattle, WA 98108
(425) 764-1010
✔ PECOS✔ Accepts Medicare43 mi
Anesthesiology
NPI 1790942886
21616 76TH AVE W STE 102
Edmonds, WA 98026
(425) 774-1538
✔ PECOS✔ Accepts Medicare57 mi
Nurse Practitioner
NPI 1205217353
3901 HOYT AVE
Everett, WA 98201
(425) 259-0966
✔ PECOS✔ Accepts Medicare70 mi
Nurse Practitioner
NPI 1457697526
1303 PACIFIC AVE
Everett, WA 98201
(425) 339-5476
✔ PECOS✔ Accepts Medicare70 mi
Interventional Radiology
NPI 1043518186
8611 HILLCREST AVE STE 200B
Dallas, TX 75225
(469) 399-5672
✔ PECOS✔ Accepts Medicare1,682 mi
Pain Management
NPI 1629103759
2702 BACK ACRE CIR SUITE 290B
Mount Airy, MD 21771
(301) 703-8767
✔ PECOS✔ Accepts Medicare2,333 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 Washington Pain And Spine Specialists LLC's NPI number?

The NPI number for Washington Pain And Spine Specialists LLC is 1992486906. It was assigned to this organization in the NPPES registry on July 31, 2023.

Where is Washington Pain And Spine Specialists LLC located?

Washington Pain And Spine Specialists LLC is located at 3525 Ensign Rd NE Ste J, Olympia, WA 98506. The listed phone number is (240) 463-4101.

What is Washington Pain And Spine Specialists LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Is Washington Pain And Spine Specialists LLC enrolled in Medicare?

Yes. Washington Pain And Spine Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Washington Pain And Spine Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Washington Pain And Spine Specialists 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 Nurse Practitioner (3), Interventional Radiology (2) and Pain Management (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Washington Pain And Spine Specialists LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Washington Pain And Spine Specialists 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 Washington Pain And Spine Specialists LLC was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.