SEATTLE ROOTS COMMUNITY HEALTH
NPI 1114540457
Clinic/Center - Federally Qualified Health Center (FQHC) in Seattle, WA
About Seattle Roots Community Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEATTLE ROOTS COMMUNITY HEALTH (NPI 1114540457), doing business as Nova Wellness Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Seattle, Washington and active in the NPI registry since May 2020. The organization lists Angie J Treptow, Interim Finance Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 1
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)
Seattle Roots Community Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
66Medicare enrollment records show 66 clinicians reassign Medicare billing to Seattle Roots Community Health, which bills Medicare for the services they deliver. Of these, 49 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 66Source: 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 Seattle Roots Community Health's NPI number?
The NPI number for Seattle Roots Community Health is 1114540457. It was assigned to this organization in the NPPES registry on May 21, 2020. The provider is doing business as Nova Wellness Center and Seattle Roots at Nova.
Where is Seattle Roots Community Health located?
Seattle Roots Community Health is located at 2410 E Cherry St, Seattle, WA 98122. The listed phone number is (206) 709-7166.
What is Seattle Roots Community Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Seattle Roots Community Health enrolled in Medicare?
Yes. Seattle Roots Community Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Seattle Roots Community Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 5 Medicare specialties reassign their Medicare billing to Seattle Roots Community Health. 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. The largest specialties are Family Practice (39), Nurse Practitioner (16) and Clinical Social Worker (6). Of these, 49 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Seattle Roots Community Health accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Seattle Roots Community Health 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 Seattle Roots Community Health was last updated on June 5, 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.
# Seattle Roots Community Health · NPI 1114540457
Federally Qualified Health Center (FQHC) organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since May 21, 2020.
## Identity
- **NPI:** 1114540457 (Entity type: Organization)
- **Enumerated:** May 21, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Nova Wellness Center (Doing Business As); Seattle Roots at Nova (Doing Business As)
- **Organization subpart:** Yes (part of Seattle Roots Community Health)
- **Authorized official:** Angie Treptow, INTERIM FINANCE DIRECTOR
## Practice location
- **Address:** 2410 E CHERRY ST, Seattle, WA 98122
- **Phone:** (206) 709-7166 · **Fax:** (206) 299-1920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 66 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (39), Nurse Practitioner (16), Clinical Social Worker (6); 49 practice within 10 miles; [full list](https://npiprofile.com/npi/1114540457/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2025
- **Other identifiers:** Medicaid 2174445 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114540457) · Data from the CMS NPPES public registry.