1. Home
  2. Directory
  3. Washington
  4. Lynnwood
  5. Nurse Practitioner
  6. NPI Profile

GAGANDEEP KAUR MUNDI
NPI 1124748363
Nurse Practitioner - Psychiatric/Mental Health in Lynnwood, WA

Active since August 29, 2022PECOS Enrolled
4630 200TH ST SW STE B, LYNNWOOD, WA 98036(206) 795-3013 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2023, Aug 29, 2022 (2 updates tracked since 2022).

About Gagandeep Kaur Mundi NPPES

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

GAGANDEEP KAUR MUNDI (NPI 1124748363) is an individual psychiatric/mental health provider in Lynnwood, Washington, licensed in Washington (AP61316047) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Everett, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124748363
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGAGANDEEP KAUR MUNDI
Location Address4630 200TH ST SW STE BLynnwood, WA 98036-6608
Mailing Address5402 115th Pl SeEverett, WA 98208-9198 · (425) 224-0115
Phone(206) 795-3013
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 29, 2022
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1124748363 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 · AP61316047
4630 200TH ST SW STE B, Lynnwood, WA 98036
Open in Google Maps ↗

Secondary Practice Location 1

Location 11718 BroadwayEverett, WA 98201-2347 · Phone (425) 224-0115

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gagandeep Kaur Mundi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739549643
PECOS Enrollment IDI20230724001481
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 Gagandeep Mundi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Era Mental Health PLLC
Same address
Psychiatric/Mental Health
4630 200TH ST SW STE F
Lynnwood, WA 98036
  • Reassigned Medicare billing, Washington enrollment
  • 12 clinicians in this Medicare group
NPI 1073198602 (425) 510-1196

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 98036 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
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.

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 Gagandeep Mundi's NPI number?

The NPI number for Gagandeep Mundi is 1124748363. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Gagandeep Mundi located?

Gagandeep Mundi practices at 4630 200th St SW Ste B, Lynnwood, WA 98036. The listed phone number is (206) 795-3013.

What is Gagandeep Mundi's specialty?

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

Is Gagandeep Mundi enrolled in Medicare?

Yes. Gagandeep Mundi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gagandeep Mundi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gagandeep Mundi reassigns Medicare benefits to New Era Mental Health PLLC (Lynnwood, 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 Gagandeep Mundi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gagandeep Mundi accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Gagandeep Mundi 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 Gagandeep Mundi was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.