Pine Family Practice LLC
NPI 1770063968 · Physician Assistant · Sunnyside, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine Family Practice LLC is a Physician Assistant organization in Sunnyside, WA (NPI 1770063968).
Provider details
- NPI number
- 1770063968
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mary Pine, Owner/Provider(509) 778-2703
- License
- 1004660 (WA)
Specialties & taxonomies
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
7 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
- 2018-08-16
- Last updated
- 2018-11-07
Frequently asked questions
- What is Pine Family Practice LLC's NPI number?
- Pine Family Practice LLC's National Provider Identifier (NPI) is 1770063968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Family Practice LLC?
- Pine Family Practice LLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pine Family Practice LLC located?
- Pine Family Practice LLC's practice location on file with NPPES is 2240 E Lincoln Ave, Sunnyside, WA 98944-2487.
- What is Pine Family Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Family Practice LLC is (509) 836-2367.
- Does Pine Family Practice LLC accept Medicare?
- Pine Family Practice LLC 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 Pine Family Practice LLC?
- The authorized official listed on Pine Family Practice LLC's NPPES record is Mary Pine, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Family Practice LLC's NPI active?
- Yes — Pine Family Practice LLC's NPI (1770063968) is active in the NPPES registry as of the last update on 2018-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.