PPGWNI Ellensburg Health Center – Family Medicine Physician, NPI 1003061920

PPGWNI Ellensburg Health Center is a healthcare provider. based in Yakima, Washington. specializing in Family Medicine Physician. The NPI Number for PPGWNI Ellensburg Health Center is 1003061920

Main info

Organization
Name
PPGWNI Ellensburg Health Center
NPI
1003061920
Phone
(866) 904-7721
Address
1117 TIETON DR
Authorized Official
MS. KIM A. NELSON VP OF FINANCE
Enumeration Date
19 November 2008
Last Update Date
8 April 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for PPGWNI Ellensburg Health Center

  • 1117, Tieton Drive, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989023835

    Phone: (866) 904-7721

    Fax: (509) 576-8685

    Type: Mailing

  • 613, North Pine Street, Ellensburg, Kittitas County, Washington, 98926, United States

    ELLENSBURG, WA 989263121

    Phone: (866) 904-7721

    Fax: (509) 248-3644

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98902)

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Reviews

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Frequently asked questions

Can I use this page to confirm PPGWNI Ellensburg Health Center's NPI?
Yes. PPGWNI Ellensburg Health Center is listed with NPI 1003061920 in the public NPI dataset.
Is PPGWNI Ellensburg Health Center still practicing?
PPGWNI Ellensburg Health Center is currently listed as active in the public NPI registry.
What is PPGWNI Ellensburg Health Center best known for clinically?
Directory data describes PPGWNI Ellensburg Health Center with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for PPGWNI Ellensburg Health Center?
PPGWNI Ellensburg Health Center's geographic hint is Yakima, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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