Privia Medical Group Washington, PLLC
NPI 1780658419ActiveOrganization· Clinic/Center· Walla Walla, WA
Clinic/Center in Walla Walla, Washington, registered in NPPES in February 2006. The authorized official on file is Kevin Michelson, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - multi-specialty - physician.
Overview
| NPI | 1780658419 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2006 |
| Last updated in NPPES | Dec 23, 2025 |
| Certified by provider | Dec 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR); DME Supplier - Multi-Specialty - Physician (WA); Part B Supplier - Clinic/Group Practice (WA) |
|---|
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