DR. ANDREW DZIKOWSKI ND, L.AC, ARNP - NPI 1104496132 - Nurse Practitioner in Lynnwood, WA

Q: What is Andrew Dzikowski's NPI number?

The NPI number for Andrew Dzikowski is 1104496132. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Q: What is Andrew Dzikowski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Dzikowski was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Andrew Dzikowski Nd, L.ac, Arnp NPPES

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

DR. ANDREW DZIKOWSKI ND, L.AC, ARNP (NPI 1104496132) is an individual psychiatric/mental health provider in Lynnwood, Washington, licensed in Washington (AP61571216) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104496132

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. ANDREW DZIKOWSKICredential: ND, L.AC, ARNP

Location Address5005 200TH ST SW STE BLynnwood, WA 98036-6679

Mailing Address921 130th St Sw Apt H102Everett, WA 98204-7383 · (425) 224-7188 · Fax (949) 250-6911

Phone(425) 224-5302

Fax(425) 678-0434

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 1, 2021

Last NPPES UpdateJune 3, 20256 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1104496132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61571216

Also ListedRegistered NurseTaxonomy 163W00000X · License RN60621233 (WA)

Also ListedAcupuncturistTaxonomy 171100000X · License AC61209772 (WA)

Also ListedNaturopathTaxonomy 175F00000X · License NT61195829 (WA)

5005 200TH ST SW STE B, Lynnwood, WA 98036

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Dr. Andrew Dzikowski Nd, L.ac, Arnp 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 ID4981124443

PECOS Enrollment IDI20250227001192

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 98036 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 5

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

SUNDEW INTEGRATED RECOVERY PLLC

Nurse Practitioner (Psychiatric/Mental Health)