JUSTIN RIGOLOSO ARNP
NPI 1124852645
Nurse Practitioner - Critical Care Medicine in Mill Creek, WA

Active since August 27, 2024PECOS EnrolledAccepts Medicare Assignment
15833 MILL CREEK BLVD # 12010, MILL CREEK, WA 98012(425) 259-0212 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Rigoloso Arnp NPPES

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

JUSTIN RIGOLOSO ARNP (NPI 1124852645) is an individual critical care medicine provider in Mill Creek, Washington, licensed in Washington (AP61450938) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124852645
Entity TypeIndividualMale
Primary Taxonomy363LC0200X
Provider Legal NameJUSTIN RIGOLOSOCredential: ARNP
Location Address15833 MILL CREEK BLVD # 12010Mill Creek, WA 98012-1200
Mailing Address11623 40th Dr SeEverett, WA 98208-5330 · (334) 790-9336
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1124852645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in WA · AP61450938
15833 MILL CREEK BLVD # 12010, Mill Creek, WA 98012

Accepted Insurance

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

Justin Rigoloso Arnp 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 ID6002357340
PECOS Enrollment IDI20240926000881
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 Reassignments

3

Medicare enrollment records show Justin Rigoloso reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
16708 BOTHELL-EVERETT HIGHWAY, SUITE 201
Mill Creek, WA 98012
  • Reassigned Medicare billing, Washington enrollment
  • 705 clinicians in this Medicare group
Specialist
1750 112TH AVE NE, SUITE A101
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 566 clinicians in this Medicare group
Critical Access
9801 FRONTIER AVE SE
Snoqualmie, WA 98065
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1144432634 (Washington)
  • 144 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98012 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.

Other Providers at the Same Location NPPES

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

Emergency Medicine
15833 MILL CREEK BLVD # 12010
MILL CREEK, WA 98012

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 Justin Rigoloso's NPI number?

The NPI number for Justin Rigoloso is 1124852645. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Justin Rigoloso located?

Justin Rigoloso practices at 15833 Mill Creek Blvd # 12010, Mill Creek, WA 98012. The listed phone number is (425) 259-0212.

What is Justin Rigoloso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Justin Rigoloso enrolled in Medicare?

Yes. Justin Rigoloso 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 organizations bill Medicare for Justin Rigoloso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Rigoloso reassigns Medicare benefits to 3 organizations: Providence Health & Services- Washington (Mill Creek, WA), Overlake Medical Clinics LLC (Bellevue, WA) and Public Hospital District No 4 King County Washington (Snoqualmie, WA). Each 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 Justin Rigoloso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Rigoloso accept?

Health plans from Providence Health Plan list Justin Rigoloso 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.

Is Justin Rigoloso affiliated with any hospitals?

According to CMS data, Justin Rigoloso is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Rigoloso was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.