Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEREMY TYSON BANG RN, DNP, PMHNP-BC
NPI 1114654225
Nurse Practitioner - Psychiatric/Mental Health in Kent, WA

Active since August 08, 2022PECOS Enrolled
505 WASHINGTON AVE S, KENT, WA 98032(253) 833-7444 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Aug 10, 2022 (2 updates tracked since 2022).

About Jeremy Tyson Bang Rn, Dnp, Pmhnp-bc NPPES

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

JEREMY TYSON BANG RN, DNP, PMHNP-BC (NPI 1114654225) is an individual psychiatric/mental health provider in Kent, Washington, licensed in Washington (ARNP.AP.61330216-NP) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114654225
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJEREMY TYSON BANGCredential: RN, DNP, PMHNP-BC
Location Address505 WASHINGTON AVE SKent, WA 98032-5709
Mailing Address325 W Gowe StKent, WA 98032-5892 · (253) 833-7444 · Fax (253) 661-8631
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 8, 2022
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
NPI 1114654225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · ARNP.AP.61330216-NP
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.RN.60968949 (WA)
505 WASHINGTON AVE S, Kent, WA 98032

Secondary Practice Location 1

Location 11701 18th Ave SSeattle, WA 98144-4317 · Phone (253) 833-7444

Other Identifiers 1

Medicaid2215022WA

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

Jeremy Tyson Bang Rn, Dnp, Pmhnp-bc 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 ID4486030350
PECOS Enrollment IDI20220929001706
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 98032 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 20

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

Registered Nurse
505 WASHINGTON AVE S
KENT, WA 98032
Nurse's Aide
505 WASHINGTON AVE S
KENT, WA 98032
Registered Nurse
505 WASHINGTON AVE S
KENT, WA 98032
Counselor
505 WASHINGTON AVE S
KENT, WA 98032
Licensed Practical Nurse
505 WASHINGTON AVE S
KENT, WA 98032
Nurse's Aide
505 WASHINGTON AVE S
KENT, WA 98032
Counselor
505 WASHINGTON AVE S
KENT, WA 98032
Registered Nurse
505 WASHINGTON AVE S
KENT, WA 98032

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 Jeremy Bang's NPI number?

The NPI number for Jeremy Bang is 1114654225. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Jeremy Bang located?

Jeremy Bang practices at 505 Washington Ave S, Kent, WA 98032. The listed phone number is (253) 833-7444.

What is Jeremy Bang's specialty?

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

Is Jeremy Bang enrolled in Medicare?

Yes. Jeremy Bang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeremy Bang was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.