SERENITY MINDS HEALTH PLLC
NPI 1386598969
Nurse Practitioner - Psychiatric/Mental Health in Marysville, WA
About Serenity Minds Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERENITY MINDS HEALTH PLLC (NPI 1386598969) is a healthcare organization registered as a psychiatric/mental health in Marysville, Washington and active in the NPI registry since February 2026. The organization lists Adebola Kafayat Adegbenro, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Serenity Minds Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Serenity Minds Health PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Serenity Minds Health PLLC's NPI number?
The NPI number for Serenity Minds Health PLLC is 1386598969. It was assigned to this organization in the NPPES registry on February 23, 2026.
Where is Serenity Minds Health PLLC located?
Serenity Minds Health PLLC is located at 4841 100th St NE Unit A, Marysville, WA 98270. The listed phone number is (321) 324-6947.
What is Serenity Minds Health PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Serenity Minds Health PLLC enrolled in Medicare?
Yes. Serenity Minds Health PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Serenity Minds Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Serenity Minds Health PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Serenity Minds Health PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Serenity Minds Health 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 Serenity Minds Health PLLC was last updated on June 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Serenity Minds Health Pllc · NPI 1386598969
Psychiatric/Mental Health organization in Marysville, Washington. Organization record, active in the CMS NPPES registry since February 23, 2026.
## Identity
- **NPI:** 1386598969 (Entity type: Organization)
- **Enumerated:** February 23, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Serenity Minds Health PLLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Adebola Adegbenro, OWNER
## Practice location
- **Address:** 4841 100TH ST NE UNIT A, Marysville, WA 98270-2352
- **Phone:** (321) 324-6947
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386598969) · Data from the CMS NPPES public registry.