Advanced Pain Care Ps
NPI 1114410495ActiveOrganization· Physician Assistant· Olympia, WA
Physician Assistant in Olympia, Washington, registered in NPPES in June 2018, part of Lake Washington Private Medicine Inc. The authorized official on file is David Keith Naibert, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114410495 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lake Washington Private Medicine Inc |
| NPI issued | Jun 11, 2018 |
| Last updated in NPPES | Jan 1, 2024 |
| Certified by provider | Jan 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Clinic/Center, Pain | 261QP3300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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