Olympia Integrative Medicine – Adult Medicine Physician, NPI 1518599273

Olympia Integrative Medicine is a healthcare provider. based in Olympia, Washington. specializing in Adult Medicine Physician. The NPI Number for Olympia Integrative Medicine is 1518599273

Main info

Organization
Name
Olympia Integrative Medicine
NPI
1518599273
Phone
(360) 915-9389
Address
2610 YELM HWY SE
Authorized Official
THOMAS ETHERTON PRESIDENT NP-C
Enumeration Date
10 February 2020
Last Update Date
23 February 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Olympia Integrative Medicine

  • 2610 YELM HWY SE

    OLYMPIA, WA 985014826

    Phone: (360) 915-9389

    Fax: (360) 925-3136

    Mailing address matches the actual address.

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: 2020-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-05-31 (9 days ago).

Enrollment records

1

Earliest due date

2026-05-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200406001398OClinic/Group PracticeWA2026-05-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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 98501)

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Reviews

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Frequently asked questions

What federal number belongs to Olympia Integrative Medicine?
The federal identifier for Olympia Integrative Medicine is NPI 1518599273.
Is Olympia Integrative Medicine active in the national directory?
Olympia Integrative Medicine's public NPI profile is in an active state.
What kind of provider is Olympia Integrative Medicine?
The page reflects Adult Medicine Physician for Olympia Integrative Medicine. Clinical services aligned with this taxonomy classification.
Does Olympia Integrative Medicine practice in Washington?
You will see Olympia, Washington on file for Olympia Integrative Medicine alongside any extra practice locations.
How can I contact Olympia Integrative Medicine?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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