Providence Health & Services Washington
NPI 1215431697 · Clinic/Center · Lacey, WA
Enrolled with Medicare as Mdpp Supplier - In-Person Mdpp Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Health & Services Washington is a Clinic/Center organization in Lacey, WA (NPI 1215431697).
Provider details
- NPI number
- 1215431697
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 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
320 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) |
|---|---|---|
| Behavioral Counseling for Diabetes Prevention, Distance Learning, 60 MinutesG9887 | 309 | $25 |
| The Mdpp Beneficiary Achieved at Least 5% Weight Loss (wl) From His/Her Baseline Weight in Months 1-12 of the Mdpp Services Period Under the Mdpp Expanded Model (em). This Is a One-Time Payment Available When a Beneficiary First Achieves at Least 5% WeightG9880 | 11 | $142 |
Typical Medicare-allowed amounts for these services range $25–$142 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Medical Group Sw Wa - Mdpp
- Doing business as
- Providence Medical Group Sw Wa - Mdpp
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Providence Health & Services Washington's NPI number?
- Providence Health & Services Washington's National Provider Identifier (NPI) is 1215431697, 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 Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Health & Services Washington located?
- Providence Health & Services Washington's practice location on file with NPPES is 4800 College St Se, 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) 493-7567.
- 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 of Enrollments. 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 (1215431697) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.