PROVIDENCE MOUNT ST VINCENT – Skilled Nursing Facility, NPI 1952386369

PROVIDENCE MOUNT ST VINCENT is a healthcare provider. based in Seattle, Washington. specializing in Skilled Nursing Facility. The organization holds a License No. BH-198 (WA). The NPI Number for PROVIDENCE MOUNT ST VINCENT is 1952386369

Main info

Organization
Name
PROVIDENCE MOUNT ST VINCENT
NPI
1952386369
Phone
(206) 937-3700
Address
4831 35TH AVE SW
Authorized Official
DONALD W ANDERSON JR. ASSISTANT SECRETARY ENROLLMENT
Enumeration Date
8 December 2005
Last Update Date
16 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness80
Years active:20State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for PROVIDENCE MOUNT ST VINCENT

  • Providence Mount Saint Vincent, 4831, 35th Avenue Southwest, Delridge, Seattle, King County, Washington, 98126, United States

    SEATTLE, WA 981262709

    Phone: (206) 937-3700

    Fax: (206) 938-8999

    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: 2010-01-16

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
O20100116000438OSkilled 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 98126)

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Reviews

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Frequently asked questions

What identifier follows PROVIDENCE MOUNT ST VINCENT across health systems?
The NPI 1952386369 uniquely identifies PROVIDENCE MOUNT ST VINCENT in U.S. healthcare data.
Is PROVIDENCE MOUNT ST VINCENT's NPI status active today?
Active status means PROVIDENCE MOUNT ST VINCENT's NPI record is not deactivated in the public file.
What type of care does PROVIDENCE MOUNT ST VINCENT provide?
PROVIDENCE MOUNT ST VINCENT's profile centers on Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Is PROVIDENCE MOUNT ST VINCENT tied to Seattle, Washington?
If you are local to Seattle, Washington, PROVIDENCE MOUNT ST VINCENT may be relevant to your search.
Who maintains PROVIDENCE MOUNT ST VINCENT's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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