HIPPY GANGSTER PLLC
NPI 1093601064
Nurse Practitioner - Psychiatric/Mental Health in Lynnwood, WA
About Hippy Gangster Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIPPY GANGSTER PLLC (NPI 1093601064) is a healthcare organization registered as a psychiatric/mental health in Lynnwood, Washington and active in the NPI registry since June 2025. The organization lists Monica Nicole Preder, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hippy Gangster Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hippy Gangster PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Hippy Gangster PLLC's NPI number?
The NPI number for Hippy Gangster PLLC is 1093601064. It was assigned to this organization in the NPPES registry on June 16, 2025.
Where is Hippy Gangster PLLC located?
Hippy Gangster PLLC is located at 19888 40th Ave W Apt 625, Lynnwood, WA 98036. The listed phone number is (425) 377-4301.
What is Hippy Gangster PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Hippy Gangster PLLC enrolled in Medicare?
Yes. Hippy Gangster PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hippy Gangster PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hippy Gangster 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Hippy Gangster PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Hippy Gangster PLLC 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 Hippy Gangster PLLC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Hippy Gangster Pllc · NPI 1093601064
Psychiatric/Mental Health organization in Lynnwood, Washington. Organization record, active in the CMS NPPES registry since June 16, 2025.
## Identity
- **NPI:** 1093601064 (Entity type: Organization)
- **Enumerated:** June 16, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Monica Preder, CEO
## Practice location
- **Address:** 19888 40TH AVE W APT 625, Lynnwood, WA 98036-6794
- **Phone:** (425) 377-4301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093601064) · Data from the CMS NPPES public registry.