Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. PRAVEEN BODAKUNTA PMHNP - BC
NPI 1295243848
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Active since January 17, 2018PECOS Enrolled
9030 35TH AVE SW STE 100, SEATTLE, WA 98126(206) 699-8261(833) 522-2262 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Oct 9, 2026, Aug 20, 2026 and 3 more (6 updates tracked since 2018).

About Mr. Praveen Bodakunta Pmhnp - Bc NPPES

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

MR. PRAVEEN BODAKUNTA PMHNP - BC (NPI 1295243848) is an individual psychiatric/mental health provider in Seattle, Washington, licensed in Washington (AP60909328) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1295243848
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. PRAVEEN BODAKUNTACredential: PMHNP - BC
Location Address9030 35TH AVE SW STE 100Seattle, WA 98126-3821
Mailing Address300 Lenora St Ste 401Seattle, WA 98121-2411 · (206) 699-8261 · Fax (833) 522-2262
Fax(833) 522-2262
Sole ProprietorYes
Enumeration DateJanuary 17, 2018
Last NPPES UpdateOctober 16, 20266 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1295243848 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
Licenses✔ Licensed in WA · AP60909328✔ Licensed in VA · 0024198329✔ Licensed in NV · 862811✔ Licensed in CO · C-APN.0103995-C-NP✔ Licensed in CA · 95023203✔ Licensed in MN · 14862✔ Licensed in AZ · 288853✔ Licensed in FL · APRN11038890
9030 35TH AVE SW STE 100, Seattle, WA 98126

Secondary Practice Locations 6

Location 118444 N 25th Ave Ste 420Phoenix, AZ 85023-1268 · Phone (206) 699-8261 · Fax (833) 522-2262
Location 210306 Eaton Pl Ste 300Fairfax, VA 22030-2201 · Phone (206) 699-8261 · Fax (833) 522-2262
Location 31900 Glades Rd Ste 600-21Boca Raton, FL 33431-7378 · Phone (206) 699-8261 · Fax (833) 522-2262
Location 4625 S 6th StLas Vegas, NV 89101-6919 · Phone (206) 699-8261 · Fax (833) 522-2262
Location 54845 Pearl East Cir Ste 101Boulder, CO 80301-6113 · Phone (206) 699-8261 · Fax (833) 522-2262
Location 62372 Morse AveIrvine, CA 92614-6234 · Phone (206) 699-8261 · Fax (833) 522-2262

Other Identifiers 8

Other0024198329VA · Va State License
Other288853AZ · Az State Np License
OtherAP60909328WA · Wa State Arnp License
Other862811NV · Nv State License
Other95023203CA · Ca State License
OtherAPRN11038890FL · Fl State License
OtherC-APN.0103995-C-NPCO · Co State License
Other14862MN · Mn State License

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)

Mr. Praveen Bodakunta Pmhnp - Bc 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 Reassignments

3

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

Mental Health (Including Community Mental Health Center)
1101 ANDOVER PARK W STE 107
Tukwila, WA 98188
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
Family Medicine
222 STATE AVE N
Kent, WA 98030
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Psychiatric Hospital
3402 S 19TH ST
Tacoma, WA 98405
  • Reassigned Medicare billing, Washington enrollment
  • 87 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 98126 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 12

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

Social Worker (Clinical)
9030 35TH AVE SW STE 100
SEATTLE, WA 98126
Nurse Practitioner (Psychiatric/Mental Health)
9030 35TH AVE SW STE 100
SEATTLE, WA 98126
Dentist (General Practice)
9030 35TH AVE SW STE 100
SEATTLE, WA 98126
Social Worker
9030 35TH AVE SW STE 100
SEATTLE, WA 98126
Counselor (Mental Health)
9030 35TH AVE SW STE 100
SEATTLE, WA 98126
Community/Behavioral Health
9030 35TH AVE SW STE 100
SEATTLE, WA 98126
Social Worker
9030 35TH AVE SW STE 100
SEATTLE, WA 98126
Social Worker (Clinical)
9030 35TH AVE SW STE 100
SEATTLE, WA 98126

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 Praveen Bodakunta's NPI number?

The NPI number for Praveen Bodakunta is 1295243848. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Praveen Bodakunta located?

Praveen Bodakunta practices at 9030 35th Ave SW Ste 100, Seattle, WA 98126. The listed phone number is (206) 699-8261.

What is Praveen Bodakunta's specialty?

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

Is Praveen Bodakunta enrolled in Medicare?

Yes. Praveen Bodakunta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Praveen Bodakunta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Bodakunta reassigns Medicare benefits to 3 organizations: Telecare Mental Health Services Of Washington Inc (Tukwila, WA), Multicare Health System (Kent, WA) and Alliance For South Sound Health (Tacoma, 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 Praveen Bodakunta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Praveen Bodakunta accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Praveen Bodakunta 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 Praveen Bodakunta was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.