Pioneer Family Practice, PLLC
NPI 1205965365 · Family Medicine Physician · Lacey, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pioneer Family Practice, PLLC is a Family Medicine Physician organization in Lacey, WA (NPI 1205965365).
Provider details
- NPI number
- 1205965365
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Taylor, Business Manager(360) 413-8617
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2023-03-07
Frequently asked questions
- What is Pioneer Family Practice, PLLC's NPI number?
- Pioneer Family Practice, PLLC's National Provider Identifier (NPI) is 1205965365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pioneer Family Practice, PLLC?
- Pioneer Family Practice, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pioneer Family Practice, PLLC located?
- Pioneer Family Practice, PLLC's practice location on file with NPPES is 5130 Corporate Center Ct Se, Lacey, WA 98503-5957.
- What is Pioneer Family Practice, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pioneer Family Practice, PLLC is (360) 413-8600.
- Does Pioneer Family Practice, PLLC accept Medicare?
- Pioneer Family Practice, PLLC 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 Pioneer Family Practice, PLLC?
- The authorized official listed on Pioneer Family Practice, PLLC's NPPES record is Diane Taylor, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pioneer Family Practice, PLLC's NPI active?
- Yes — Pioneer Family Practice, PLLC's NPI (1205965365) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.