JEREMY TYSON BANG RN, DNP, PMHNP-BC
NPI 1114654225
Nurse Practitioner - Psychiatric/Mental Health in Kent, WA
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Bang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kent, WA 98032
- Reassigned Medicare billing, Washington enrollment
- 125 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Jeremy Bang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Bang reassigns Medicare benefits to Valley Cities Counseling And Consultation (Kent, WA). The 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 Jeremy Bang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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.
# Jeremy Tyson Bang, RN, DNP, PMHNP-BC · NPI 1114654225
Psychiatric/Mental Health physician in Kent, Washington. Individual provider, active in the CMS NPPES registry since August 8, 2022.
## Identity
- **NPI:** 1114654225 (Entity type: Individual)
- **Enumerated:** August 8, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** ARNP.AP.61330216-NP (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 WASHINGTON AVE S, Kent, WA 98032-5709
- **Phone:** (253) 833-7444
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Valley Cities Counseling And Consultation (NPI 1972668853, Kent, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 28, 2026
- **Other identifiers:** Medicaid 2215022 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114654225) · Data from the CMS NPPES public registry.