NORTHWEST MEDICAL SPECIALTIES PLLC – Multi-Specialty Clinic/Center, NPI 1548261308
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NORTHWEST MEDICAL SPECIALTIES PLLC
2920 S Meridian Ste 100
Puyallup, WA 983731654
Phone: (253) 428-8700
Type: Location
1624, South I Street, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States
SUITE #305
TACOMA, WA 984055016
Phone: (253) 428-8700
Fax: (253) 627-4285
Type: Mailing
3920 Capital Mall Dr SW Ste 100
Olympia, WA 985028701
Phone: (360) 754-5168
Type: Location
2940 S Meridian Ste 200
Puyallup, WA 983731659
Phone: (253) 428-8700
Type: Location
11511 Canterwood Blvd
Gig Harbor, WA 983325813
Phone: (253) 428-8700
Type: Location
34509 9th Ave S Ste 107
Federal Way, WA 980038707
Phone: (253) 428-8700
Type: Location
1201 Bishop Rd
Chehalis, WA 985328711
Phone: (360) 345-1381
Type: Location
10004 204th Ave E Ste 3400
Bonney Lake, WA 983916536
Phone: (253) 428-8700
Fax: (253) 428-9910
Type: Location
1624 S I St Ste 105
Tacoma, WA 984055029
Phone: (253) 428-8700
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1046 days ago).
Enrollment records
2
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20040217000405 | O | Clinic/Group Practice | WA | 2023-07-31 |
| O20100930041047 | O | Multi-Specialty - Physician | WA | 2024-04-30 |
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.
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 98373)
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