Privia Medical Group Washington PLLC
A Medicare group practice based in Walla Walla, WA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 2264320837), with 89 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2264320837
- Provider type
- DME Supplier - Multi-Specialty - Physician, Part A Provider - Rural Health Clinic, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- OR, WA
- Enrollments
- 8
- Group size
- 73 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 20
Enrollment records 8
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100930036254 | WA | DME Supplier - Multi-Specialty - Physician | 1780658419 |
| O20110111000930 | WA | Part A Provider - Rural Health Clinic | 1346441979 |
| O20260608000929 | WA | DME Supplier - Multi-Specialty - Physician | 1225911829 |
| O20250508002314 | WA | Part A Provider - Rural Health Clinic | 1235944414 |
| O20250603003933 | WA | Part A Provider - Rural Health Clinic | 1790590974 |
| O20040305000581 | OR | Part B Supplier - Clinic/Group Practice | 1780658419 |
| O20040309000142 | WA | Part B Supplier - Ambulatory Surgical Center | 1760568273 |
| O20040309000126 | WA | Part B Supplier - Clinic/Group Practice | 1780658419 |
NPIs in this group 7
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Privia Medical Group Washington, PLLC
- Durable Medical Equipment & Medical Supplies
- Deer Park, WA
- NPI 1225911829
-
Privia Medical Group Washington, PLLC
- Rural Health Clinic/Center
- Deer Park, WA
- NPI 1235944414
-
Privia Medical Group Washington, PLLC
- Rural Health Clinic/Center
- Walla Walla, WA
- NPI 1346441979
-
Privia Medical Group Washington, PLLC
- Clinic/Center
- Walla Walla, WA
- NPI 1780658419
-
Privia Medical Group Washington, PLLC
- Rural Health Clinic/Center
- Deer Park, WA
- NPI 1790590974
-
Walla Walla Clinic, Inc.
- Ambulatory Surgical Clinic/Center
- Walla Walla, WA
- NPI 1760568273
-
Walla Walla Clinic, Inc.
- Clinic/Center
- Milton Freewater, OR
- NPI 1063521862
Practice locations
- Deer Park, WA5
- Walla Walla, WA5
- Spokane, WA3
- Edmonds, WA2
- Tualatin, OR1
- Seattle, WA1
- Bellevue, WA1
- Bainbridge Island, WA1
- Vancouver, WA1
Clinicians 89
Clinicians who reassign their Medicare benefits to this group (84) or whom Care Compare lists as members (73).
-
Victor Keeno Attoh, DPT
- Physical Therapist
- Walla Walla, WA
- NPI 1689978660
-
Chad Christian Barrett, DC, MD
- Family Medicine Physician
- Deer Park, WA
- NPI 1053350660
-
Peter Tannahill Beatty, MD
- Diagnostic Radiology Physician
- Tualatin, OR
- NPI 1710047592
-
Sergiy Berezhnoy, CO 60911229
- Clinical Social Worker
- Spokane, WA
- NPI 1881164978
-
Taylor J Broughton, PA-C
- Physician Assistant
- Deer Park, WA
- NPI 1952758187
-
Kenneth V Busby, B.S. / B.A.
- Physician Assistant
- Walla Walla, WA
- NPI 1508830423
-
Marcus Paul Carr, M.D.
- Diagnostic Radiology Physician
- Tualatin, OR
- NPI 1104280205
-
Chelsea Conn Caruso, D.O.
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1659751774
-
Emily Grace Castillo, ARNP
- Adult Health Nurse Practitioner
- Walla Walla, WA
- NPI 1114261229
-
Tyler Christensen, ARNP
- Adult Health Nurse Practitioner
- Walla Walla, WA
- NPI 1144606146
-
Ryan Todd Cornia, DPM
- Podiatrist
- Walla Walla, WA
- NPI 1396869798
-
Timothy J Davis, AU.D.
- Audiologist
- Walla Walla, WA
- NPI 1831539915
-
Marissa Leah Denenny
- Nurse Practitioner
- Spokane, WA
- NPI 1376434316
-
Merridy R. Dickey, LICSW
- Clinical Social Worker
- Walla Walla, WA
- NPI 1629342357
-
Rebekah Dickman, M.D.
- Pediatrics Physician
- Walla Walla, WA
- NPI 1083096440
-
Stephanie Dawn Doud, ARNP
- Primary Care Nurse Practitioner
- Deer Park, WA
- NPI 1861128852
-
Cody Joshua Ellefsen, DO
- Family Medicine Physician
- Spokane, WA
- NPI 1578759304
-
Jaslyn Esther Erickson, MD
- Pediatrics Physician
- Walla Walla, WA
- NPI 1174273155
-
Edgar A Figueroa, M.D.
- Family Medicine Physician
- Deer Park, WA
- NPI 1487650883
-
Andrew Lamont Fluckiger, M.D.
- Obstetrics & Gynecology Physician
- Walla Walla, WA
- NPI 1962935593
-
Jillian Rae Foglesong Stabile, M.D.
- Family Medicine Physician
- Deer Park, WA
- NPI 1518134964
-
Mark D Frewing, DPT
- Physical Therapist
- Walla Walla, WA
- NPI 1902970841
-
Scott T Fry, M.D.
- Family Medicine Physician
- Milton Freewater, OR
- NPI 1972577195
-
Neil E Golan, MD
- Family Medicine Physician
- Auburn, WA
- NPI 1407969314
-
Jessica Anne Greb, ARNP
- Family Nurse Practitioner
- Puyallup, WA
- NPI 1417202656
-
Erik C Gryler, M.D.
- Orthopaedic Surgery Physician
- Walla Walla, WA
- NPI 1316911449
-
Malcolm William, George Hardy, MD
- Obstetrics Physician
- Walla Walla, WA
- NPI 1790120145
-
Anne Gerlicher Harned, PA-C
- Physician Assistant
- Portland, OR
- NPI 1316597339
-
Benjamin Harris
- Internal Medicine Physician
- Newton Lower Falls, MA
- NPI 1366822116
-
Mark David Haugen, M.D.
- Family Medicine Physician
- Walla Walla, WA
- NPI 1700890597
-
Gregory Alan Haveman, MD
- Otolaryngology Physician
- Walla Walla, WA
- NPI 1447415773
-
Stacey Renee Haveman, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Walla Walla, WA
- NPI 1023309796
-
Jared Richard Hellings, PSYD
- Clinical Psychologist
- Everett, WA
- NPI 1841429511
-
Spencer Scott Hendricks, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Walla Walla, WA
- NPI 1932830338
-
Qumara Hill-Smith
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1871906024
-
Kate Hogan
- Physician Assistant
- Walla Walla, WA
- NPI 1306563317
-
Timothy David Kadlecek, DO
- Diagnostic Radiology Physician
- Tualatin, OR
- NPI 1538229315
-
Matthew Derek Lindsay Kay, MBBS
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1033646096
-
Lauren L Keiser, PA-C
- Physician Assistant
- Richland, WA
- NPI 1801606520
-
Shishir Kumar Khetan, MD
- Internal Medicine Physician
- Rockville, MD
- NPI 1861497372
-
Diane Demeter Knight, PHD, CPNP, APRN-RX
- Pediatric Nurse Practitioner
- Walla Walla, WA
- NPI 1851535470
-
Danielle Lacey
- Clinical Social Worker
- Walla Walla, WA
- NPI 1437674009
-
Melanie Ann Lieblang, FNP
- Family Nurse Practitioner
- Wake Forest, NC
- NPI 1508392952
-
Brian Robert Mahon, MD
- Diagnostic Radiology Physician
- Tualatin, OR
- NPI 1104998962
-
Joseph Marquardt, D.O.
- Diagnostic Radiology Physician
- Tualatin, OR
- NPI 1265753842
-
Lindsay A Michaelson, ARNP
- Family Nurse Practitioner
- Dayton, WA
- NPI 1093282022
-
Cheryl Miller, LICSW
- Mental Health Counselor
- Walla Walla, WA
- NPI 1427287572
-
Megan Mitchell
- Physician Assistant
- Spokane, WA
- NPI 1982196960
-
Jessica Mitra
- Physical Therapist
- West Chicago, IL
- NPI 1386674174
-
Juergen J Mueller, M.D.
- Gastroenterology Physician
- Kalispell, MT
- NPI 1376636043
-
Megan Renee Freismidl Newcomb, PA-C
- Physician Assistant
- Walla Walla, WA
- NPI 1295235281
-
Danelle Nick, MD
- Pediatrics Physician
- Walla Walla, WA
- NPI 1245556026
-
Rosemary Norheim, MSW, LMHC
- Clinical Social Worker
- Walla Walla, WA
- NPI 1508388992
-
Timothy Isamu O'Connor, M.D.
- Pediatrics Physician
- Walla Walla, WA
- NPI 1073856043
-
Justin Olswanger, DO
- Adult Medicine Physician
- Walla Walla, WA
- NPI 1033265657
-
Dana Marie Oswald
- Nurse Practitioner
- Spokane, WA
- NPI 1265293658
-
David Panther, MD
- Dermatology Physician
- Walla Walla, WA
- NPI 1306106547
-
W. Jeanne Parker, FNP-BC
- Family Nurse Practitioner
- Walla Walla, WA
- NPI 1902160559
-
Craig James Philhower, FNP-C
- Family Nurse Practitioner
- Arlington, VA
- NPI 1285085076
-
Fernando Porter, MD
- Family Medicine Physician
- Baltimore, MD
- NPI 1669785770
-
Jeffrey M Pryor, D.O.
- Family Medicine Physician
- Walla Walla, WA
- NPI 1790045045
-
Jessica Strickland Pulliam, P. A.
- Physician Assistant
- New York, NY
- NPI 1467653790
-
Cynthia B Reese, B.A., M.S.N.
- Advanced Practice Midwife
- Walla Walla, WA
- NPI 1578537205
-
Yelena Rhinebah, P.A.
- Physician Assistant
- Colville, WA
- NPI 1619165222
-
Kristin R. Robinson, DPM
- Podiatrist
- Walla Walla, WA
- NPI 1154602738
-
Erika Rootvik
- Psychiatric/Mental Health Nurse Practitioner
- Walla Walla, WA
- NPI 1407225238
-
Selina Marie Ross, ARNP
- Family Nurse Practitioner
- Deer Park, WA
- NPI 1215358841
-
Sarah E Scarborough, NP
- Family Nurse Practitioner
- Milton, OR
- NPI 1649369505
-
Nicole Amity Sharp, MSW
- Clinical Social Worker
- Walla Walla, WA
- NPI 1982902649
-
Abby Bettilyon Sorensen, FNP
- Family Nurse Practitioner
- Walla Walla, WA
- NPI 1902289838
-
Chloe Sprowl, PA-C
- Physician Assistant
- Walla Walla, WA
- NPI 1689403628
-
Amanda Jo Stepper, CNM
- Advanced Practice Midwife
- Walla Walla, WA
- NPI 1639776370
-
Laurel Stevens, M.D.
- Dermatology Physician
- Walla Walla, WA
- NPI 1912225160
-
Erica Swingholm Mireles
- Clinical Social Worker
- Walla Walla, WA
- NPI 1073908265
-
Claire Templin, D.O.
- Obstetrics & Gynecology Physician
- Walla Walla, WA
- NPI 1750795514
-
Jacob Templin, DO
- Internal Medicine Physician
- Dayton, WA
- NPI 1295149052
-
Ana Guadalupe Torres, LMHC
- Mental Health Counselor
- Walla Walla, WA
- NPI 1750893723
-
Matthew Michael Treinen, DO
- Diagnostic Radiology Physician
- Tualatin, OR
- NPI 1093918922
-
Rochelle A, Trussell, PA-C
- Physician Assistant
- Walla Walla, WA
- NPI 1831270065
-
Kyle Benton Varner, MD
- Internal Medicine Physician
- Spokane, WA
- NPI 1174961734
-
Mariana Villanueva Lenero, MD
- Obstetrics & Gynecology Physician
- Walla Walla, WA
- NPI 1194385666
-
Brian D Wadley, M.D.
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1124076732
-
William D Wagner, D.O.
- Family Medicine Physician
- Walla Walla, WA
- NPI 1871567941
-
Naomi Ward, ARNP
- Community Health Nurse Practitioner
- Deer Park, WA
- NPI 1639269533
-
Marelda M Whitmarsh, ARPN, MN, RN NP-C
- Family Nurse Practitioner
- Nine Mile Falls, WA
- NPI 1285645390
-
Michael J Wilcox, M.D.
- Internal Medicine Physician
- Walla Walla, WA
- NPI 1881668655
-
Jacqueline W Wong, MD
- Ophthalmology Physician
- Bainbridge Island, WA
- NPI 1760479323
-
Joseph Edward Wren, MD
- Pediatrics Physician
- Walla Walla, WA
- NPI 1699750869
-
Ge Zhao, M.D.,PH.D.
- Dermatology Physician
- Bellevue, WA
- NPI 1205135092
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.