What is Providence Health & Services Washington's NPI number?

Providence Health & Services Washington's National Provider Identifier (NPI) is 1003367863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Providence Health & Services Washington?

Providence Health & Services Washington is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).

Where is Providence Health & Services Washington located?

Providence Health & Services Washington's practice location on file with NPPES is 4800 College St Se Ste E, Lacey, WA 98503-4389.

What is Providence Health & Services Washington's phone number?

The practice phone number listed in the NPPES registry for Providence Health & Services Washington is (360) 489-2960.

Does Providence Health & Services Washington accept Medicare?

Providence Health & Services Washington is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Providence Health & Services Washington?

The authorized official listed on Providence Health & Services Washington's NPPES record is Donald Anderson, Assistant Secretary for Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Providence Health & Services Washington's NPI active?

Yes — Providence Health & Services Washington's NPI (1003367863) is active in the NPPES registry as of the last update on 2025-05-13.

OrganizationActiveAccepts Medicare

Providence Health & Services Washington

NPI 1003367863 · Diagnostic Radiology Physician · Lacey, WA

Providence Health & Services Washington is a Diagnostic Radiology Physician organization in Lacey, WA (NPI 1003367863).

Provider details

NPI number: 1003367863
Entity type: Organization
Primary specialty: Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Donald Anderson, Assistant Secretary for Enrollment(425) 358-9786

Practice location

4800 College St Se Ste E

Lacey, WA 98503-4389

Phone: (360) 489-2960

Fax: (360) 489-2961

Street-level locationGet directions

More WA providers

Mailing address

Po Box 31001-4110

Pasadena, CA 91110-4110

Specialties & taxonomies

Diagnostic Radiology PhysicianPrimary2085R0202X
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Other name: Providence St Peter Hospital Diagnostic Imaging Lacey

Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
10 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
1 documented practice location
Medicare service volume (vs. specialty peers)28% of score
1,158 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
X-Ray of Chest, 2 Views71046	313	$24
X-Ray of Knee, 3 Views73562	119	$32
X-Ray of Shoulder, Minimum of 2 Views73030	94	$26
X-Ray of Lower and Sacral Spine, 2-3 Views72100	93	$30
X-Ray of Hand, Minimum of 3 Views73130	74	$29
X-Ray of Hip, 2-3 Views73502	73	$38
X-Ray of Foot, Minimum of 3 Views73630	54

Enumerated: 2016-10-17
Last updated: 2025-05-13
Certified: 2025-05-13

Frequently asked questions

What is Providence Health & Services Washington's NPI number?: Providence Health & Services Washington's National Provider Identifier (NPI) is 1003367863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Providence Health & Services Washington?: Providence Health & Services Washington is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
Where is Providence Health & Services Washington located?: Providence Health & Services Washington's practice location on file with NPPES is 4800 College St Se Ste E, Lacey, WA 98503-4389.
What is Providence Health & Services Washington's phone number?: The practice phone number listed in the NPPES registry for Providence Health & Services Washington is (360) 489-2960.
Does Providence Health & Services Washington accept Medicare?: Providence Health & Services Washington is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Providence Health & Services Washington?: The authorized official listed on Providence Health & Services Washington's NPPES record is Donald Anderson, Assistant Secretary for Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Providence Health & Services Washington's NPI active?: Yes — Providence Health & Services Washington's NPI (1003367863) is active in the NPPES registry as of the last update on 2025-05-13.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

What this provider does (Medicare)

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Frequently asked questions

Profile Score

What this provider does (Medicare)