JESSIE ENELL ARNP
NPI 1093024770
Nurse Practitioner - Psychiatric/Mental Health in Lynnwood, WA

Active since September 29, 2010Opted out of Medicare · through Jan 1, 2028
16824 44TH AVE W STE 170, LYNNWOOD, WA 98037(425) 908-0123(844) 446-9742 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 3, 2025, Jun 24, 2020 (2 updates tracked since 2020).

About Jessie Enell Arnp NPPES

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

JESSIE ENELL ARNP (NPI 1093024770) is an individual psychiatric/mental health provider in Lynnwood, Washington, licensed in Washington (AP60185007) and active in the NPI registry since September 2010. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1093024770
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSIE ENELLCredential: ARNP
Location Address16824 44TH AVE W STE 170Lynnwood, WA 98037-3117
Mailing AddressPo Box 2041Everett, WA 98213-0041 · (425) 908-0123 · Fax (844) 446-9742
Fax(844) 446-9742
Sole ProprietorNo
Enumeration DateSeptember 29, 2010
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1093024770 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 · AP60185007
16824 44TH AVE W STE 170, Lynnwood, WA 98037

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jessie Enell Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Psychiatry)
16824 44TH AVE W STE 170
LYNNWOOD, WA 98037
Nurse Practitioner (Psychiatric/Mental Health)
16824 44TH AVE W STE 170
LYNNWOOD, WA 98037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093024770, enumerated as an "individual" on September 29, 2010.

The provider is located at 16824 44TH AVE W STE 170 LYNNWOOD, WA 98037 and the phone number is (425) 908-0123.

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 and. Please consult your insurance carrier or call the provider to verify.