MAPLE VALLEY MOVEMENT NEUROLOGY, PLLC
NPI 1265150379
Psychiatry & Neurology - Neurology in Maple Valley, WA
About Maple Valley Movement Neurology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAPLE VALLEY MOVEMENT NEUROLOGY, PLLC (NPI 1265150379) is a healthcare organization registered as a neurology in Maple Valley, Washington and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Maple Valley and lists Jennifer Lelia Davis, Auth Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maple Valley Movement Neurology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Maple Valley Movement Neurology, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Maple Valley Movement Neurology, PLLC's NPI number?
The NPI number for Maple Valley Movement Neurology, PLLC is 1265150379. It was assigned to this organization in the NPPES registry on August 16, 2022.
Where is Maple Valley Movement Neurology, PLLC located?
Maple Valley Movement Neurology, PLLC is located at 22620 SE 216th Pl Ste E, Maple Valley, WA 98038. The listed phone number is (425) 200-4546.
What is Maple Valley Movement Neurology, PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Maple Valley Movement Neurology, PLLC enrolled in Medicare?
Yes. Maple Valley Movement Neurology, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maple Valley Movement Neurology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Maple Valley Movement Neurology, PLLC, in Neurology and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Maple Valley Movement Neurology, PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Maple Valley Movement Neurology, PLLC 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 Maple Valley Movement Neurology, PLLC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Maple Valley Movement Neurology, Pllc · NPI 1265150379
Neurology organization in Maple Valley, Washington. Organization record, active in the CMS NPPES registry since August 16, 2022.
## Identity
- **NPI:** 1265150379 (Entity type: Organization)
- **Enumerated:** August 16, 2022
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Jennifer Davis, AUTH OFFICIAL
## Practice location
- **Address:** 22620 SE 216TH PL STE E, Maple Valley, WA 98038-6327
- **Phone:** (425) 200-4546 · **Fax:** (425) 523-9167
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Neurology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1265150379) · Data from the CMS NPPES public registry.