Mt Baker Pain Clinic – Pain Clinic/Center, NPI 1538405709

Mt Baker Pain Clinic is a healthcare provider. based in Bellingham, Washington. specializing in Pain Clinic/Center. The organization holds a License No. MD00045352 (WA). The NPI Number for Mt Baker Pain Clinic is 1538405709

Main info

Organization
Name
Mt Baker Pain Clinic
NPI
1538405709
Phone
(360) 752-0518
Address
4029 NORTHWEST AVE STE 301
Authorized Official
ERIKA STUIT ADMINISTRATOR
Enumeration Date
17 December 2012
Last Update Date
22 July 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:13State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Mt Baker Pain Clinic

  • 4029 NORTHWEST AVE STE 301

    BELLINGHAM, WA 982269077

    Phone: (360) 752-0518

    Fax: (360) 676-2896

    Type: Mailing

  • 340 E GEORGE HOPPER ROAD

    SUITE #1

    BURLINGTON, WA 982333154

    Phone: (360) 752-0518

    Fax: (360) 676-2896

    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: 2019-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (145 days away).

Enrollment records

1

Earliest due date

2026-10-31

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
O20191031002119OMulti-Specialty - PhysicianWA2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

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 98226)

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Reviews

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Frequently asked questions

What federal number belongs to Mt Baker Pain Clinic?
The federal identifier for Mt Baker Pain Clinic is NPI 1538405709.
Is Mt Baker Pain Clinic's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does Mt Baker Pain Clinic list a primary specialty?
If you are matching referrals, note Pain Clinic/Center for Mt Baker Pain Clinic. Clinical services aligned with this taxonomy classification.
What location metadata exists for Mt Baker Pain Clinic?
The page summarizes Bellingham, Washington for Mt Baker Pain Clinic; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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