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CHARLES STUART POTRYKUS MA
NPI 1346444395
Counselor - Mental Health in Edmonds, WA

Active since June 13, 2007PECOS Enrolled
8514 HOLLY LN, EDMONDS, WA 98026(206) 313-9546 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2022, Nov 12, 2015 (2 updates tracked since 2015).

About Charles Stuart Potrykus Ma NPPES

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

CHARLES STUART POTRYKUS MA (NPI 1346444395) is an individual mental health provider in Edmonds, Washington and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346444395
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES STUART POTRYKUSCredential: MA
Location Address8514 HOLLY LNEdmonds, WA 98026-8635
Mailing Address8514 Holly LnEdmonds, WA 98026-8635 · (206) 313-9546
Phone(206) 313-9546
Sole ProprietorYes
Enumeration DateJune 13, 2007
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1346444395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8514 HOLLY LN, Edmonds, WA 98026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Stuart Potrykus Ma 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 Charles Potrykus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacmed Clinics
3.8 mi
Multi-Specialty
19401 40TH AVE W, SUITE 100
Lynnwood, WA 98036
  • Reassigned Medicare billing, Washington enrollment
  • 291 clinicians in this Medicare group
NPI 1477594356 (425) 744-7153

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 Charles Potrykus's NPI number?

The NPI number for Charles Potrykus is 1346444395. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Charles Potrykus located?

Charles Potrykus practices at 8514 Holly Ln, Edmonds, WA 98026. The listed phone number is (206) 313-9546.

What is Charles Potrykus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Charles Potrykus enrolled in Medicare?

Yes. Charles Potrykus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Potrykus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Potrykus reassigns Medicare benefits to Pacmed Clinics (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 Charles Potrykus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Potrykus accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Charles Potrykus 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 Charles Potrykus was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.