DR. ANTENEH WOLDESELASSIE PMHNP-DNP
NPI 1396465753
Nurse Practitioner - Psychiatric/Mental Health in Kent, WA

Q: What is Anteneh Woldeselassie's NPI number?

The NPI number for Anteneh Woldeselassie is 1396465753. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Q: What is Anteneh Woldeselassie's specialty?

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

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment

26136 PACIFIC HWY S, KENT, WA 98032(206) 212-6189(206) 429-2587 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Aug 29, 2022 (2 updates tracked since 2022).

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About Dr. Anteneh Woldeselassie Pmhnp-dnp NPPES

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

DR. ANTENEH WOLDESELASSIE PMHNP-DNP (NPI 1396465753) is an individual psychiatric/mental health provider in Kent, Washington, licensed in Washington (AP61562033) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396465753

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. ANTENEH WOLDESELASSIECredential: PMHNP-DNP

Location Address26136 PACIFIC HWY SKent, WA 98032-6910

Mailing Address26136 Pacific Hwy SKent, WA 98032-6910 · (206) 212-6189 · Fax (206) 429-2587

Phone(206) 212-6189

Fax(206) 429-2587

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 29, 2022

Last NPPES UpdateApril 1, 20262 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1396465753 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

License✔ Licensed in WA · AP61562033

26136 PACIFIC HWY S, Kent, WA 98032

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anteneh Woldeselassie Pmhnp-dnp 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 ID6103362124

PECOS Enrollment IDI20240725002420

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

133 services20 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

21 services13 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

17 services11 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98032 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 2

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

THAWMINDS MENTAL HEALTH SERVICE LLC

Nurse Practitioner (Psychiatric/Mental Health)

26136 PACIFIC HWY S
KENT, WA 98032

King County (206) 212-6189

DR. ANDREW SINGTIONG SOO DPM

Podiatrist (Foot & Ankle Surgery)

26136 PACIFIC HWY S
KENT, WA 98032

King County (253) 941-0887

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 Anteneh Woldeselassie's NPI number?

The NPI number for Anteneh Woldeselassie is 1396465753. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Anteneh Woldeselassie located?

Anteneh Woldeselassie practices at 26136 Pacific Hwy S, Kent, WA 98032. The listed phone number is (206) 212-6189.

What is Anteneh Woldeselassie's specialty?

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

Is Anteneh Woldeselassie enrolled in Medicare?

Yes. Anteneh Woldeselassie 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.

What insurance does Anteneh Woldeselassie accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Anteneh Woldeselassie 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 Anteneh Woldeselassie was last updated on April 1, 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.