NPIMap

Organization Active NPI

Nes Washington, Inc.

  • Emergency Medicine Physician
  • Ketchikan, AK
National Provider Identifier
1215239595
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NES WASHINGTON, INC.
Practice address
3100 Tongass Ave
Ketchikan, AK 99901
Phone
(907) 225-5171
NPI assigned
Nov 19, 2010
Organization subpart
No

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000475 AK Part B Supplier - Clinic/Group Practice 5193994879 Receives reassigned benefits from 35 practitioners
Practice locations: Ketchikan, AK

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matt Teter
Title
Corporate Secretary
Phone
(833) 507-7972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

3100 Tongass Ave
Ketchikan, AK 99901

Mailing address

7300 State Highway 121 Ste 370-374
McKinney, TX 75070-1987
Phone (469) 557-6183

Other identifiers 2

IdentifierTypeStateIssuer
DR7134OtherRR MEDICARE
1571009MedicaidAK

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1215239595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 STATE HIGHWAY 121 STE 370-374",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701987",
            "telephone_number": "469-557-6183",
            "fax_number": "469-640-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "99901",
            "telephone_number": "907-225-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NES WASHINGTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "TETER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "833-507-7972"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DR7134",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571009",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.