OLYMPIC MEDICAL PHYSICIANS – Family Medicine Physician, NPI 1427081967
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for OLYMPIC MEDICAL PHYSICIANS
303 W 8th St
Port Angeles, WA 983625904
Phone: (360) 457-8578
Fax: (360) 457-4841
Type: Location
777 N 5th Ave Ste 300
Sequim, WA 983823080
Phone: (360) 565-0999
Fax: (360) 582-4121
Type: Location
939 Caroline St # 3E
Port Angeles, WA 983623909
Phone: (360) 565-0999
Fax: (360) 452-7303
Type: Location
840 N 5th Ave Ste 1400
Sequim, WA 983823045
Phone: (360) 582-2930
Fax: (360) 582-2931
Type: Location
777 N 5th Ave Ste 106
Sequim, WA 983823080
Phone: (360) 582-4200
Fax: (360) 582-4202
Type: Location
800 N 5th Ave Ste 101
Sequim, WA 983823045
Phone: (360) 565-0999
Fax: (360) 582-4221
Type: Location
901 E Front St
Port Angeles, WA 983624014
Phone: (360) 565-9520
Fax: (360) 452-4762
Type: Location
907 Georgiana St
Port Angeles, WA 983623911
Phone: (360) 565-0999
Fax: (360) 417-0127
Type: Location
433 E 8th St
Port Angeles, WA 983626219
Phone: (360) 565-0999
Fax: (360) 565-7610
Type: Location
840 N 5th Ave
Sequim, WA 983823045
Phone: (360) 582-2930
Fax: (360) 582-2931
Type: Location
939 Caroline St
Port Angeles, WA 983623997
Phone: (360) 417-7000
Fax: (360) 565-9241
Type: Location
1112 Caroline St
Port Angeles, WA 983624204
Phone: (360) 565-0999
Fax: (360) 565-0541
Type: Location
840 N 5th Ave Ste 1500
Sequim, WA 983823045
Phone: (360) 565-0999
Fax: (360) 582-2841
Type: Location
PO BOX 850
PORT ANGELES, WA 983620146
Phone: (360) 565-9237
Fax: (360) 565-9241
Type: Mailing
PO BOX 24029
SEATTLE, WA 981240029
Phone: (360) 565-9237
Fax: (360) 565-9241
Type: Mailing
Olympic Medical Center, 907, Georgiana Street, Port Angeles, Clallam County, Washington, 98362, United States
PORT ANGELES, WA 983623911
Phone: (360) 565-0999
Fax: (360) 565-0851
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060721000246 | O | Clinic/Group Practice | WA | TBD |
| O20241111003483 | O | Clinic/Group Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 98362)
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