WHIDBEY MEDICAL CLINIC PLLC – Clinic/Center, NPI 1548260177

WHIDBEY MEDICAL CLINIC PLLC is a healthcare provider. based in Oak harbor, Washington. specializing in Clinic/Center. The NPI Number for WHIDBEY MEDICAL CLINIC PLLC is 1548260177

Main info

Organization
Name
WHIDBEY MEDICAL CLINIC PLLC
NPI
1548260177
Phone
(360) 679-3161
Address
231 SE BARRINGTON DR
Authorized Official
DR. ROBERT L LYCKSELL OWNER M.D.
Enumeration Date
26 July 2005
Last Update Date
4 December 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for WHIDBEY MEDICAL CLINIC PLLC

  • 231, Southeast Barrington Drive, Oak Harbor, Island County, Washington, 98277, United States

    SUITE 209

    OAK HARBOR, WA 982773200

    Phone: (360) 679-3161

    Fax: (360) 679-1741

    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: 2004-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20040309000368OClinic/Group PracticeWATBD

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.

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 98277)

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Reviews

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Frequently asked questions

Where can patients find WHIDBEY MEDICAL CLINIC PLLC's NPI?
You can confirm WHIDBEY MEDICAL CLINIC PLLC with NPI 1548260177; it appears in the national provider directory.
Is WHIDBEY MEDICAL CLINIC PLLC's NPI currently valid?
The extract we use shows WHIDBEY MEDICAL CLINIC PLLC as active.
What kind of provider is WHIDBEY MEDICAL CLINIC PLLC?
The page reflects Clinic/Center for WHIDBEY MEDICAL CLINIC PLLC. Clinical services aligned with this taxonomy classification.
Where is WHIDBEY MEDICAL CLINIC PLLC's primary listing?
We display Oak Harbor, Washington because that is what the record indicates for WHIDBEY MEDICAL CLINIC PLLC.
Is WHIDBEY MEDICAL CLINIC PLLC a real provider?
This page reflects official NPPES data for NPI 1548260177. Always confirm identity and privileges with the practice and licensing boards.

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