Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SAVATHDY IM ARNP, PMHNP-BC, CARN
NPI 1053072751
Nurse Practitioner - Psychiatric/Mental Health in Auburn, WA

Active since January 05, 2022PECOS EnrolledAccepts Medicare Assignment
230 AUBURN WAY S STE 1B, AUBURN, WA 98002(253) 374-7932(949) 703-7387 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2026, Jan 30, 2023, Sep 12, 2022 and 4 more (7 updates tracked since 2022).

About Savathdy Im Arnp, Pmhnp-bc, Carn NPPES

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

SAVATHDY IM ARNP, PMHNP-BC, CARN (NPI 1053072751) is an individual psychiatric/mental health provider in Auburn, Washington, licensed in Washington (AP61339231) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tacoma, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053072751
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSAVATHDY IMCredential: ARNP, PMHNP-BC, CARN
Location Address230 AUBURN WAY S STE 1BAuburn, WA 98002-5451
Mailing Address230 Auburn Way S Ste 1bAuburn, WA 98002-5451 · (253) 374-7932 · Fax (949) 703-7387
Fax(949) 703-7387
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJuly 7, 20267 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1053072751 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
License Licensed in WA · AP61339231
230 AUBURN WAY S STE 1B, Auburn, WA 98002

Secondary Practice Location 1

Location 13640 S Cedar St Ste MTacoma, WA 98409-5700 · Phone (253) 478-0827

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Savathdy Im Arnp, Pmhnp-bc, Carn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426425240
PECOS Enrollment IDI20221108003010
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services17 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
24 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
230 AUBURN WAY S STE 1B
AUBURN, WA 98002
Community/Behavioral Health
230 AUBURN WAY S STE 1B
AUBURN, WA 98002
Clinic/Center (Mental Health (Including Community Mental Health Center))
230 AUBURN WAY S STE 1B
AUBURN, WA 98002
Social Worker (Clinical)
230 AUBURN WAY S STE 1B
AUBURN, WA 98002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053072751, enumerated as an "individual" on January 05, 2022.

The provider is located at 230 AUBURN WAY S STE 1B AUBURN, WA 98002 and the phone number is (253) 374-7932.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.