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MR. CHITCHAWAL SAHATEVASUKONT N.P.
NPI 1053661074
Nurse Practitioner - Psychiatric/Mental Health in Bothell, WA

Active since September 17, 2012PECOS Enrolled
79.16/100
CMS Quality Rating
22722 29TH DR SE, STE 100, BOTHELL, WA 98021(770) 363-0793 Get Directions Write a Review

NPPES record last updated: May 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Chitchawal Sahatevasukont N.p. NPPES

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

MR. CHITCHAWAL SAHATEVASUKONT N.P. (NPI 1053661074) is an individual psychiatric/mental health provider in Bothell, Washington, licensed in Iowa (G136472) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053661074
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. CHITCHAWAL SAHATEVASUKONTCredential: N.P.
Location Address22722 29TH DR SE, STE 100Bothell, WA 98021-4420
Mailing Address1920 Variations Dr NeAtlanta, GA 30329-1009 · (770) 363-0793
Phone(770) 363-0793
Sole ProprietorYes
Enumeration DateSeptember 17, 2012
Last NPPES UpdateMay 3, 2020
NPPES CertifiedMay 3, 2020
✔ NPI 1053661074 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
Licenses✔ Licensed in IA · G136472✔ Licensed in GA · RN176776✔ Licensed in AZ · AP4663
22722 29TH DR SE, Bothell, WA 98021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Chitchawal Sahatevasukont N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98021 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Other Providers at the Same Location NPPES 5

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

HANNAH NYE
Counselor (Mental Health)
22722 29TH DR SE
BOTHELL, WA 98021
Snohomish County (206) 858-1177
ST JACQUES CONSULTING GROUP LLC
Counselor (Mental Health)
22722 29TH DR SE, SUITE 100
BOTHELL, WA 98021
Snohomish County (425) 780-4499
ELIZABETH STEWART-FINERTY MSW
Social Worker (Clinical)
22722 29TH DR SE
BOTHELL, WA 98021
Snohomish County (206) 858-1177
B'ZOE INC.
In Home Supportive Care
22722 29TH DR SE
BOTHELL, WA 98021
Snohomish County (206) 617-0456
HSIN-PING HUANG
Counselor (Mental Health)
22722 29TH DR SE
BOTHELL, WA 98021
Snohomish County (513) 827-5305

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 Chitchawal Sahatevasukont's NPI number?

The NPI number for Chitchawal Sahatevasukont is 1053661074. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Chitchawal Sahatevasukont located?

Chitchawal Sahatevasukont practices at 22722 29th Dr SE Ste 100, Bothell, WA 98021. The listed phone number is (770) 363-0793.

What is Chitchawal Sahatevasukont's specialty?

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

Is Chitchawal Sahatevasukont enrolled in Medicare?

Yes. Chitchawal Sahatevasukont is registered in the Medicare PECOS enrollment system.

What insurance does Chitchawal Sahatevasukont accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Chitchawal Sahatevasukont as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chitchawal Sahatevasukont was last updated on May 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.