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GRACE KWON
NPI 1114564457
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Active since December 05, 2019Opted out of Medicare · through Apr 3, 2028
126 NW CANAL ST STE 200, SEATTLE, WA 98107(206) 486-1500(206) 775-7215 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2025, Aug 3, 2022, Dec 5, 2019 (3 updates tracked since 2019).

About Grace Kwon NPPES

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

GRACE KWON (NPI 1114564457) is an individual psychiatric/mental health provider in Seattle, Washington, licensed in Washington (AP61322592) and active in the NPI registry since December 2019. She has opted out of Medicare through April 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114564457
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGRACE KWON
Location Address126 NW CANAL ST STE 200Seattle, WA 98107-4970
Mailing Address126 Nw Canal St Ste 200Seattle, WA 98107-4970 · (206) 486-1500 · Fax (206) 775-7215
Phone(206) 486-1500
Fax(206) 775-7215
Sole ProprietorYes
Enumeration DateDecember 5, 2019
Last NPPES UpdateJune 14, 20253 updates tracked since enumeration
NPPES CertifiedJune 14, 2025
✔ NPI 1114564457 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 · AP61322592
126 NW CANAL ST STE 200, Seattle, WA 98107
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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

ⓘ

Opted out of Medicare

Grace Kwon 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 April 3, 2026 through April 3, 2028.

Opt-Out Effective DateApril 3, 2026
Opt-Out In Effect ThroughApril 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

KATHLEEN H MYLAN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
126 NW CANAL ST STE 200
SEATTLE, WA 98107
King County (206) 486-1500
SARAH GRACE KURAMOTO
Nurse Practitioner (Psychiatric/Mental Health)
126 NW CANAL ST STE 200
SEATTLE, WA 98107
King County (206) 486-1500
EMMA OSWALD ARNP
Nurse Practitioner (Psychiatric/Mental Health)
126 NW CANAL ST STE 200
SEATTLE, WA 98107
King County (206) 486-1500
HANNAH CANTRELL DNP, ARNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
126 NW CANAL ST STE 200
SEATTLE, WA 98107
King County (206) 486-1500
ELIZA WARFIELD BRINK DNP, ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
126 NW CANAL ST STE 200
SEATTLE, WA 98107
King County (206) 486-1500
JENNIFER HOGAN
Nurse Practitioner (Psychiatric/Mental Health)
126 NW CANAL ST STE 200
SEATTLE, WA 98107
King County (206) 486-1500
KELSEY KNOX MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
126 NW CANAL ST STE 200
SEATTLE, WA 98107
King County (206) 486-1500
POPPY INTERVENTIONAL PSYCHIATRY
Psychiatry & Neurology (Psychiatry)
126 NW CANAL ST STE 200
SEATTLE, WA 98107
King County (206) 486-1500

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 Grace Kwon's NPI number?

The NPI number for Grace Kwon is 1114564457. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Grace Kwon located?

Grace Kwon practices at 126 NW Canal St Ste 200, Seattle, WA 98107. The listed phone number is (206) 486-1500.

What is Grace Kwon's specialty?

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

Is Grace Kwon enrolled in Medicare?

No. Grace Kwon has opted out of Medicare through April 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Grace Kwon accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Grace Kwon 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 Grace Kwon was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.