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BLOSSOM MENTAL HEALTH SERVICES, PLLC
NPI 1003596412
Nurse Practitioner - Psychiatric/Mental Health in Everett, WA

Active since July 20, 2023
2722 COLBY AVE STE 328, EVERETT, WA 98201(425) 740-3600 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Blossom Mental Health Services, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM MENTAL HEALTH SERVICES, PLLC (NPI 1003596412) is a healthcare organization registered as a psychiatric/mental health in Everett, Washington and active in the NPI registry since July 2023. The organization lists Sandeep Grewal, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1003596412
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLOSSOM MENTAL HEALTH SERVICES, PLLC
Location Address2722 COLBY AVE STE 328Everett, WA 98201-3531
Mailing Address2722 Colby Ave Ste 328Everett, WA 98201-3531 · (425) 740-3600
Phone(425) 740-3600
Organization SubpartNo
Authorized OfficialSandeep GrewalManager/owner · (206) 643-7988
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1003596412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2722 COLBY AVE STE 328, Everett, WA 98201
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blossom Mental Health Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blossom Mental Health Services, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sandeep Grewal
Nurse Practitioner
NPI 1275165227
2722 COLBY AVE STE 328
Everett, WA 98201
(425) 740-3600
✔ PECOS✔ Accepts MedicareSame address
Anoopa Jacob, DNP, ARNP, PMHNP-BC
Nurse Practitioner
NPI 1982368767
1330 ROCKEFELLER AVE STE 140
Everett, WA 98201
(425) 261-4210
✔ PECOS✔ Accepts Medicare1.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossom Mental Health Services, PLLC's NPI number?

The NPI number for Blossom Mental Health Services, PLLC is 1003596412. It was assigned to this organization in the NPPES registry on July 20, 2023.

Where is Blossom Mental Health Services, PLLC located?

Blossom Mental Health Services, PLLC is located at 2722 Colby Ave Ste 328, Everett, WA 98201. The listed phone number is (425) 740-3600.

What is Blossom Mental Health Services, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blossom Mental Health Services, PLLC enrolled in Medicare?

Yes. Blossom Mental Health Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blossom Mental Health Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Blossom Mental Health Services, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blossom Mental Health Services, PLLC was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.