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

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

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 (AP61330216) 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 Address505 Washington Ave SKent, WA 98032-5709
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 8, 2022
Last NPPES UpdateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
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 · AP61330216
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License RN60968949 (WA)
505 WASHINGTON AVE S, Kent, WA 98032

Secondary Practice Location 1

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

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.

Clinic/Center (Rehabilitation, Substance Use Disorder)
505 WASHINGTON AVE S
KENT, WA 98032
Substance Abuse Rehabilitation Facility
505 WASHINGTON AVE S
KENT, WA 98032
Substance Abuse Rehabilitation Facility
505 WASHINGTON AVE S
KENT, WA 98032
Substance Abuse Rehabilitation Facility
505 WASHINGTON AVE S
KENT, WA 98032
Substance Abuse Rehabilitation Facility
505 WASHINGTON AVE S
KENT, WA 98032
Substance Abuse Rehabilitation Facility
505 WASHINGTON AVE S
KENT, WA 98032
Substance Abuse Rehabilitation Facility
505 WASHINGTON AVE S
KENT, WA 98032
Substance Abuse Rehabilitation Facility
505 WASHINGTON AVE S
KENT, WA 98032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114654225, enumerated as an "individual" on August 08, 2022.

The provider is located at 505 WASHINGTON AVE S KENT, WA 98032 and the phone number is (253) 833-7444.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.