DR. DAVID W AGNOR PHD
NPI 1114971462
Psychologist - Clinical in Vancouver, WA

Active since May 20, 2006PECOS Enrolled
9340 NE 76TH ST, VANCOUVER, WA 98662(360) 253-4912(360) 253-5710 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David W Agnor Phd NPPES

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

DR. DAVID W AGNOR PHD (NPI 1114971462) is an individual clinical provider in Vancouver, Washington, licensed in Washington (PY00001983) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114971462
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAVID W AGNORCredential: PHD
Location Address9340 NE 76TH STVancouver, WA 98662-3721
Mailing Address9340 Ne 76th StVancouver, WA 98662-3721 · (360) 253-4912 · Fax (360) 253-5710
Fax(360) 253-5710
Sole ProprietorNo
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1114971462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in WA · PY00001983✔ Licensed in HI · PSY-444
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
9340 NE 76TH ST, Vancouver, WA 98662

Other Identifiers 3

Medicare UPINR18084
Medicaid7089816WA
Medicare ID-Type UnspecifiedGAB37805WA · Senior Connections

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David W Agnor Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show David Agnor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
9340 NE 76TH ST
Vancouver, WA 98662
  • Reassigned Medicare billing, Washington enrollment
  • 6 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 98662 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Psychologist (Clinical)
9340 NE 76TH ST, VANCOUVER
VANCOUVER, WA 98662
Skilled Nursing Facility
9340 NE 76TH ST
VANCOUVER, WA 98662
Custodial Care Facility (Adult Care Home)
9340 NE 76TH ST
VANCOUVER, WA 98662
Counselor (Mental Health)
9340 NE 76TH ST
VANCOUVER, WA 98662
Nurse Practitioner (Psychiatric/Mental Health)
9340 NE 76TH ST
VANCOUVER, WA 98662
Psychologist
9340 NE 76TH ST
VANCOUVER, WA 98662
Skilled Nursing Facility
9340 NE 76TH ST
VANCOUVER, WA 98662
Psychologist (Clinical)
9340 NE 76TH ST
VANCOUVER, WA 98662

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 David Agnor's NPI number?

The NPI number for David Agnor is 1114971462. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is David Agnor located?

David Agnor practices at 9340 NE 76th St, Vancouver, WA 98662. The listed phone number is (360) 253-4912.

What is David Agnor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is David Agnor enrolled in Medicare?

Yes. David Agnor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Agnor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Agnor reassigns Medicare benefits to Senior Psychology LLC (Vancouver, 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 David Agnor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Agnor accept?

Health plans from Providence Health Plan list David Agnor 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 David Agnor was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.