Regency at Puyallup Rehabilitation Center – Skilled Nursing Facility, NPI 1699760025

Regency at Puyallup Rehabilitation Center is a healthcare provider. based in Puyallup, Washington. specializing in Skilled Nursing Facility. The organization holds a License No. NH1376 (WA). The NPI Number for Regency at Puyallup Rehabilitation Center is 1699760025

Main info

Organization
Name
Regency at Puyallup Rehabilitation Center
NPI
1699760025
Phone
(253) 845-6631
Address
516 23RD AVE SE
Authorized Official
MR. GREGORY J VISLOCKY EX VP OF FINANCE / PARTNER
Enumeration Date
12 September 2005
Last Update Date
12 March 2026

Contacts

Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness100
Years active:20State licenses:17/7 NPPES fields on file

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Provider Addresses for Regency at Puyallup Rehabilitation Center

  • Puyallup Nursing and Rehabilitation Center, 516, 23rd Avenue Southeast, Puyallup, Pierce County, Washington, 98372, United States

    PUYALLUP, WA 983724659

    Phone: (253) 845-6631

    Fax: (253) 848-1357

    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: 2005-01-03

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
O20050103000946OSkilled Nursing FacilityWATBD

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 98372)

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Reviews

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Frequently asked questions

What is the standard ID for Regency at Puyallup Rehabilitation Center in the U.S.?
In the U.S., Regency at Puyallup Rehabilitation Center is identified by NPI 1699760025.
Should I treat Regency at Puyallup Rehabilitation Center as an active provider?
Patients and plans typically see Regency at Puyallup Rehabilitation Center as active in the national extract.
What does the directory say Regency at Puyallup Rehabilitation Center does?
Insurance directories may phrase it differently, but here Regency at Puyallup Rehabilitation Center maps to Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What city is tied to Regency at Puyallup Rehabilitation Center?
The directory associates Regency at Puyallup Rehabilitation Center with Puyallup, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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