AIMEE GWYN MAMICH PMHNP-BC, MSN, RN
NPI 1093607426
Nurse Practitioner - Psychiatric/Mental Health in Longview, WA

Active since July 18, 2025PECOS Enrolled
831 12TH AVE, LONGVIEW, WA 98632(360) 998-2349(360) 998-2887 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aimee Gwyn Mamich Pmhnp-bc, Msn, Rn NPPES

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

AIMEE GWYN MAMICH PMHNP-BC, MSN, RN (NPI 1093607426) is an individual psychiatric/mental health provider in Longview, Washington, licensed in Washington (AP61680020) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1093607426
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAIMEE GWYN MAMICHCredential: PMHNP-BC, MSN, RN
Location Address831 12TH AVELongview, WA 98632-2403
Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 998-2349
Fax(360) 998-2887
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 18, 2025
Last NPPES UpdateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
NPI 1093607426 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 · AP61680020
831 12TH AVE, Longview, WA 98632

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Aimee Gwyn Mamich Pmhnp-bc, Msn, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012402753
PECOS Enrollment IDI20251219003071
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 98632 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.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Psychiatric/Mental Health)
831 12TH AVE
LONGVIEW, WA 98632
Massage Therapist
831 12TH AVE
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
831 12TH AVE
LONGVIEW, WA 98632
Chiropractor
831 12TH AVE
LONGVIEW, WA 98632
Counselor
831 12TH AVE
LONGVIEW, WA 98632
Clinic/Center (Federally Qualified Health Center (FQHC))
831 12TH AVE
LONGVIEW, WA 98632
Chiropractor
831 12TH AVE
LONGVIEW, WA 98632
Social Worker
831 12TH AVE
LONGVIEW, WA 98632

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 Aimee Mamich's NPI number?

The NPI number for Aimee Mamich is 1093607426. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Aimee Mamich located?

Aimee Mamich practices at 831 12th Ave, Longview, WA 98632. The listed phone number is (360) 998-2349.

What is Aimee Mamich's specialty?

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

Is Aimee Mamich enrolled in Medicare?

Yes. Aimee Mamich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aimee Mamich was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.