Black Stone Health – Pain Clinic/Center, NPI 1649776394
Pain Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Black Stone Health
21509 State Route 410 E Ste 1B
Bonney Lake, WA 983914104
Phone: (253) 983-9390
Type: Location
9715 N Nevada St
Spokane, WA 992183412
Phone: (801) 903-1122
Type: Location
9220 Ridgetop Blvd NW Ste 120
Silverdale, WA 983838583
Phone: (360) 415-9110
Fax: (360) 479-0265
Type: Location
388 State St Ste 420
Salem, OR 973013581
Phone: (541) 368-5986
Type: Location
21509 State Route 410 E Ste 1A
Bonney Lake, WA 983914104
Phone: (253) 891-2160
Type: Location
2314 NW Kings Blvd Ste B
Corvallis, OR 973303925
Phone: (541) 368-5986
Type: Location
11306 Bridgeport Way SW Ste D
Lakewood, WA 984993037
Phone: (253) 983-9390
Type: Location
4404 80th St NE
Marysville, WA 982703427
Phone: (360) 839-6778
Type: Location
1849 NW Kearney St Ste 301
Portland, OR 972091453
Phone: (503) 477-5205
Type: Location
2296 NW Kings Blvd Ste 101
Corvallis, OR 973303871
Phone: (541) 368-5986
Type: Location
5122 Olympic Dr Ste A-204
Gig Harbor, WA 983351767
Phone: (360) 415-9110
Type: Location
4029 Northwest Ave Ste 303
Bellingham, WA 982269077
Phone: (360) 526-8685
Fax: (360) 733-8320
Type: Location
2298 NW Kings Blvd
Corvallis, OR 973303923
Phone: (541) 368-5986
Type: Location
9220 Ridgetop Blvd NW Ste 200
Silverdale, WA 983838556
Phone: (360) 415-9110
Type: Location
6101 Summitview Ave Ste 200
Yakima, WA 989083028
Phone: (360) 839-6778
Type: Location
120 14th Ave SE Ste D
Puyallup, WA 983723718
Phone: (253) 200-2144
Type: Location
17615 SE 272nd St Ste 102
Covington, WA 980424957
Phone: (253) 983-9390
Type: Location
6808 220th St SW Ste 201
Mountlake Terrace, WA 980432187
Phone: (360) 839-6778
Type: Location
16410 Smokey Point Blvd Ste 210
Arlington, WA 982238415
Phone: (360) 200-4388
Type: Location
7200 S 180th St Ste 102
Tukwila, WA 981882988
Phone: (253) 983-9390
Type: Location
340 E George Hopper Rd Ste 1
Burlington, WA 982333153
Phone: (360) 419-6868
Type: Location
Northwest Avenue, Columbia, Bellingham, Whatcom County, Washington, 98225-2409, United States
BELLINGHAM, WA 982269077
Phone:
Type: Mailing
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: 2022-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (616 days ago).
Enrollment records
3
Earliest due date
2024-09-30
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 |
|---|---|---|---|---|
| O20180517001248 | O | Clinic/Group Practice | WA | 2024-09-30 |
| O20220701000687 | O | Multi-Specialty - Physician | WA | 2026-01-31 |
| O20220725002506 | O | Clinic/Group Practice | OR | TBD |
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 98391)
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