Providence Health & Services Washington
A Medicare group practice based in Olympia, WA: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 7719873496), with 189 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7719873496
- Also listed as
- Providence Health and Services Washington
- Provider type
- Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
- Enrolled in
- WA
- Enrollments
- 4
- Group size
- 14 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 29
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170223001678 | WA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1003367863 |
| O20040227000744 | WA | Part B Supplier - Clinic/Group Practice | 1619176997 |
| O20041112000546 | WA | Part A Provider - Hospital | 1508877689 |
| O20041112000425 | WA | Part A Provider - Hospital | 1346250594 |
NPIs in this group 12
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Providence Health & Services Washington
- Diagnostic Radiology Physician
- Lacey, WA
- NPI 1003367863
-
Providence Health & Services Washington
dba Providence St Peter Hospital
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
Providence Health & Services Washington
dba Providence St. Peter Hospital
- Psychiatric Hospital Unit
- Olympia, WA
- NPI 1508877689
-
Providence Health & Services Washington
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
-
Providence Health & Services Washington
dba Providence Community Care Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Olympia, WA
- NPI 1023550050
-
Providence Health & Services Washington
- Substance Use Disorder Rehabilitation Clinic/Center
- Belfair, WA
- NPI 1043441967
-
Providence Health & Services Washington
- Clinic/Center
- Lacey, WA
- NPI 1063611408
-
Providence Health & Services Washington
dba Providence St Peter Hospital
- Substance Use Disorder Rehabilitation Clinic/Center
- Shelton, WA
- NPI 1073744850
-
Providence Health & Services Washington
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Olympia, WA
- NPI 1497110571
-
Providence Health & Services Washington
- Substance Use Disorder Rehabilitation Clinic/Center
- Lacey, WA
- NPI 1689805509
-
Providence Health & Services Washington
dba Providence St Peter Hospital
- Substance Use Disorder Rehabilitation Clinic/Center
- Hoquiam, WA
- NPI 1770714693
-
Providence Health & Services Washington
- Surgical Physician Assistant
- Olympia, WA
- NPI 1851574750
Practice locations
- Olympia, WA14
- Lacey, WA9
- Centralia, WA2
- Yelm, WA2
- South Bend, WA1
- Long Beach, WA1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 96.26 of 100
- Quality
- 84.3
- Promoting interoperability
- 100
- Improvement activities
- 40
Clinicians 189
Clinicians who reassign their Medicare benefits to this group (189) or whom Care Compare lists as members (14).
-
Ahmad Abadullah, MD
- Internal Medicine Physician
- University Place, WA
- NPI 1225005721
-
Sharon C Abegg, M.D.
- Psychiatry Physician
- Olympia, WA
- NPI 1437291143
-
Jennifer M Abelson, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Olympia, WA
- NPI 1497989057
-
Susan Abraham, M.D.
- Internal Medicine Physician
- Peoria, IL
- NPI 1598926818
-
Mohammed Al Qaraghouli, M.D.
- Obstetrics & Gynecology Physician
- Centralia, WA
- NPI 1134650138
-
Mohammed Ali Alawadhi, MD
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1114366143
-
Nina Therese Andersen, DO
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Olympia, WA
- NPI 1912535576
-
Natalie Sheila Ann Angus, MD
- Family Medicine Physician
- Chehalis, WA
- NPI 1013396407
-
Amy M. Arisco, MD
- Urology Physician
- Mount Vernon, WA
- NPI 1821183856
-
Jason O'Ryan Arnold, LICSW
- Clinical Social Worker
- Lacey, WA
- NPI 1174758700
-
Bonnie Virginia Baker, MD
- Internal Medicine Physician
- Flat Rock, NC
- NPI 1245341106
-
Jatinder Singh Banipal, MD
- Internal Medicine Physician
- Centralia, WA
- NPI 1609300029
-
Saneer Basnett, MD
- Psychiatry Physician
- Edmonds, WA
- NPI 1508015173
-
Walid Behnawa, MD
- Family Medicine Physician
- Auburn, WA
- NPI 1689886921
-
Bridgit S Bell, MD
- Critical Care Medicine (Internal Medicine) Physician
- Modesto, CA
- NPI 1063525426
-
Darrel James Bell, MD
- Obstetrics & Gynecology Physician
- Olympia, WA
- NPI 1669419594
-
Kawandus L Bennett, MD
- Internal Medicine Physician
- Olympia, WA
- NPI 1912945718
-
Puneet Bhullar, MD
- Obstetrics & Gynecology Physician
- Olympia, WA
- NPI 1184910861
-
Marc Anthony Bouchard, DO
- Psychiatry Physician
- Longview, WA
- NPI 1750677605
-
Ted A. Branstetter, PA-C
- Surgical Physician Assistant
- Flagstaff, AZ
- NPI 1588663835
-
Michael Matthew Braun, D.O.
- Family Medicine Physician
- Tacoma, WA
- NPI 1598933012
-
Heidi J. Bray, ARNP
- Family Nurse Practitioner
- Olympia, WA
- NPI 1366492241
-
William P Brennan, MD
- Cardiovascular Disease Physician
- Olympia, WA
- NPI 1487655858
-
Rebecca Broderick, ACNPC-AG, BSN, RN
- Nurse Practitioner
- Lacey, WA
- NPI 1629755657
-
Tara Annette Brooks, LMHC
- Mental Health Counselor
- Lacey, WA
- NPI 1245472182
-
Lana K Bur, MD
- Nephrology Physician
- Olympia, WA
- NPI 1649449919
-
Kathryn Mary Burrell, ARNP
- Adult Health Nurse Practitioner
- Olympia, WA
- NPI 1174854764
-
Carie Gertrude Bussey, CNM ARNP
- Advanced Practice Midwife
- Olympia, WA
- NPI 1952486318
-
Linda J Calderwood, ARNP
- Gerontology Nurse Practitioner
- Port Townsend, WA
- NPI 1114300241
-
Nels Davis Carroll
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Thousand Oaks, CA
- NPI 1396122099
-
Rekha Chandran, MD
- Hematology & Oncology Physician
- Seattle, WA
- NPI 1457393878
-
Marina Cheng, MD
- Surgery Physician
- Silverdale, WA
- NPI 1174720569
-
Sundar Venkata Cherukuri, DO
- Internal Medicine Physician
- Olympia, WA
- NPI 1427511849
-
Anita Jar Yu Chin, M.D.
- Obstetrics & Gynecology Physician
- Olympia, WA
- NPI 1730110446
-
Aisha Choudhry, M.D.
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Tacoma, WA
- NPI 1326334491
-
Jeffrey Charles Christenson, MD
- Specialist
- Olympia, WA
- NPI 1932162872
-
Tram Phuong Chu, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Renton, WA
- NPI 1043536949
-
Stanley Corbin Clark, MD
- Urology Physician
- Sandy, UT
- NPI 1770591620
-
Amanda Nicole Clauson, CNM, ARNP
- Advanced Practice Midwife
- Olympia, WA
- NPI 1013432202
-
Kristyn Kalei Criss, NP-C
- Family Nurse Practitioner
- Shelton, WA
- NPI 1487229654
-
Raul Manuel Buenaflor Cruz, M.D.
- Pulmonary Disease Physician
- Olympia, WA
- NPI 1689843492
-
Daniel G Cuadrado, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tacoma, WA
- NPI 1154398006
-
Eve Samantha Cunningham, MD
- Obstetrics & Gynecology Physician
- Olympia, WA
- NPI 1477601409
-
Thomas K Curry, MD
- Vascular Surgery Physician
- Olympia, WA
- NPI 1811974652
-
Jennifer Lynn Curtis, APRN
- Nurse Practitioner
- Phoenix, AZ
- NPI 1386237931
-
Kirk Damien Danielson, MD
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
- NPI 1093820797
-
Khaled M Darwesh, MD
- Internal Medicine Physician
- Olympia, WA
- NPI 1265963805
-
Victor Lao De Guzman Jr., AGACNP-BC, ACNPC-AG
- Gerontology Nurse Practitioner
- Tacoma, WA
- NPI 1497234884
-
Rubina Dhaliwal
- Internal Medicine Physician
- Olympia, WA
- NPI 1831623859
-
Tamara Ann Coulter Dotson, PA-C
- Physician Assistant
- Lewiston, ID
- NPI 1699102871
-
Tamara Eklund
- Pediatric Nurse Practitioner
- Puyallup, WA
- NPI 1679107239
-
Dustin T Engelken, MD
- Pulmonary Disease Physician
- Olympia, WA
- NPI 1174683007
-
Juliette K. Erickson, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Olympia, WA
- NPI 1851489660
-
Lauren Winslow Fisher, MD
- Physical Medicine & Rehabilitation Physician
- Portland, OR
- NPI 1215253778
-
Raymond D Fisher, D.O.
- Cardiovascular Disease Physician
- Tacoma, WA
- NPI 1245640515
-
Susan L Fraser, MD
- Infectious Disease Physician
- Tacoma, WA
- NPI 1932187663
-
Mary E Fredericks, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Olympia, WA
- NPI 1306188032
-
Melissa Jo Gallardo, NP
- Psychiatric/Mental Health Nurse Practitioner
- Olympia, WA
- NPI 1578039749
-
Jane M. Geraci, M.D., MPH
- Internal Medicine Physician
- Lacey, WA
- NPI 1568560241
-
Gopal Ghimire, MD, PHD, MRCP
- Interventional Cardiology Physician
- Olympia, WA
- NPI 1811225923
-
Joyce A Gilbert, MD
- Pediatrics Physician
- Olympia, WA
- NPI 1174515993
-
Hartaj Singh Girn, M.D.
- Cardiovascular Disease Physician
- Tacoma, WA
- NPI 1033552237
-
Mary E Goldmann, PA-C
- Physician Assistant
- Centralia, WA
- NPI 1891984613
-
Michael Moshe Goodblatt, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Olympia, WA
- NPI 1952613374
-
Mordechai Groner, M.D.
- Infectious Disease Physician
- Olympia, WA
- NPI 1427347764
-
Dwight E. Hand, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- St Petersburg, FL
- NPI 1780766238
-
Brandon Michael Haynes, M.D.
- Urology Physician
- Los Angeles, CA
- NPI 1679872238
-
Thomas W. Hecht, MD
- Physical Medicine & Rehabilitation Physician
- Olympia, WA
- NPI 1609966118
-
Tiffany Heiges, CNM
- Advanced Practice Midwife
- Olympia, WA
- NPI 1942860291
-
Andrzej Himmel, MD
- Internal Medicine Physician
- Olympia, WA
- NPI 1174711634
-
Sharon A Hinz, CNM,ARNP
- Advanced Practice Midwife
- Olympia, WA
- NPI 1326109687
-
Joseph Tsung-Yo Ho, M.D., PH.D.
- Neurological Surgery Physician
- Burbank, CA
- NPI 1487782009
-
Katherine Mieko Hogg, MD
- Pulmonary Disease Physician
- Olympia, WA
- NPI 1881657716
-
Eve Marie Hyatt, ACNP
- Acute Care Nurse Practitioner
- Temple, TX
- NPI 1720094592
-
Mihai Florin Iancu, M.D.
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1437263175
-
Valeria Petkova Ilieva, M.D.
- Infectious Disease Physician
- Albuquerque, NM
- NPI 1184962680
-
Christopher Iwanoff, D.O.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Eatontown, NJ
- NPI 1174817118
-
Peter E Jorgenson, ARNP
- Adult Health Nurse Practitioner
- Olympia, WA
- NPI 1376156216
-
Kamal Raj Joshi, M.D.
- Clinical Cardiac Electrophysiology Physician
- Olympia, WA
- NPI 1508020801
-
Matheau Antoine Julien, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Round Rock, TX
- NPI 1619189933
-
Nathan Jung, M.D.
- Urology Physician
- Madison, WI
- NPI 1003229055
-
Shruti Kanwar, M.D.
- Hospitalist Physician
- Fargo, ND
- NPI 1932534419
-
Frederick Farzad Kash, MD
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1023070737
-
Alexander I Kats, M.D.
- Internal Medicine Physician
- Olympia, WA
- NPI 1356533228
-
Rajit Kaushal, MD
- Family Medicine Physician
- Centralia, WA
- NPI 1942432869
-
Leo Wolfgang Kesting, M.D.
- Neurology Physician
- Olympia, WA
- NPI 1679531230
-
Muhammad Bilal Khan, MD
- Internal Medicine Physician
- Tacoma, WA
- NPI 1770635930
-
Suchit Khanijao, MD
- Pulmonary Disease Physician
- Olympia, WA
- NPI 1942635412
-
Jasjit Khurana
- Internal Medicine Physician
- Burien, WA
- NPI 1801039151
-
Daniel James Kissau, MD
- Internal Medicine Physician
- Olympia, WA
- NPI 1861996837
-
Christina R Klein, MD
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Olympia, WA
- NPI 1154731727
-
Anish S Konde, M.D.
- Hematology & Oncology Physician
- Lacey, WA
- NPI 1417343971
-
Yo Kondo, M.D.
- Family Medicine Physician
- Olympia, WA
- NPI 1245428168
-
Jon Christian Kooiker, M.D.
- Specialist
- Olympia, WA
- NPI 1568420180
-
Hetal Prakash Kothari, MD
- Internal Medicine Physician
- Olympia, WA
- NPI 1417190463
-
Katie Elizabeth Kunnen, D.O.
- Internal Medicine Physician
- Centralia, WA
- NPI 1487912069
-
Sarah Lagrange, LICSW
- Clinical Social Worker
- Lacey, WA
- NPI 1477210607
-
Timothy Stephen Larson, M.D.
- Cardiovascular Disease Physician
- Tacoma, WA
- NPI 1679782676
-
Juan Miguel Lee, MD
- Family Medicine Physician
- Chehalis, WA
- NPI 1235469784
-
Mijung Lee, MD
- Medical Oncology Physician
- Lacey, WA
- NPI 1093970048
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.