Prudent Medical Providers Nw
NPI 1699364455 · Family Medicine Physician · Federal Way, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prudent Medical Providers Nw is a Family Medicine Physician organization in Federal Way, WA (NPI 1699364455).
Provider details
- NPI number
- 1699364455
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristyn Dice, Contracting Manager(208) 717-3944
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Other names (DBA / former)
- Doing business as
- N/A
- Doing business as
- N/A
Additional practice locations (2)
- 4523 42nd St NeTacoma, WA 98422-2424Phone: (206) 245-4902
- 4306 40th Ave NeTacoma, WA 98422-2488Phone: (206) 245-4902
Registry dates
- Enumerated
- 2021-01-15
- Last updated
- 2023-07-13
- Certified
- 2021-07-29
Frequently asked questions
- What is Prudent Medical Providers Nw's NPI number?
- Prudent Medical Providers Nw's National Provider Identifier (NPI) is 1699364455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prudent Medical Providers Nw?
- Prudent Medical Providers Nw is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prudent Medical Providers Nw located?
- Prudent Medical Providers Nw's practice location on file with NPPES is 1045 S 320th St Ste 7, Federal Way, WA 98003-5179.
- What is Prudent Medical Providers Nw's phone number?
- The practice phone number listed in the NPPES registry for Prudent Medical Providers Nw is (206) 212-6554.
- Does Prudent Medical Providers Nw accept Medicare?
- Prudent Medical Providers Nw 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 Prudent Medical Providers Nw?
- The authorized official listed on Prudent Medical Providers Nw's NPPES record is Kristyn Dice, Contracting Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prudent Medical Providers Nw's NPI active?
- Yes — Prudent Medical Providers Nw's NPI (1699364455) is active in the NPPES registry as of the last update on 2023-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.