DR. TIMOTHY MARTIN REISENAUER PH.D.
NPI 1407032063
Psychologist in Mill Creek, WA
About Dr. Timothy Martin Reisenauer Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY MARTIN REISENAUER PH.D. (NPI 1407032063) is an individual psychologist in Mill Creek, Washington, licensed in Washington (1287) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Timothy Martin Reisenauer Ph.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Reisenauer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mill Creek, WA 98012
- Reassigned Medicare billing, Washington enrollment
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 Timothy Reisenauer's NPI number?
The NPI number for Timothy Reisenauer is 1407032063. It was assigned to this individual provider in the NPPES registry on January 14, 2008.
Where is Timothy Reisenauer located?
Timothy Reisenauer practices at 15418 Main St Unit 301, Mill Creek, WA 98012. The listed phone number is (425) 385-2362.
What is Timothy Reisenauer's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Timothy Reisenauer enrolled in Medicare?
Yes. Timothy Reisenauer 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.
Which organization bills Medicare for Timothy Reisenauer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Reisenauer reassigns Medicare benefits to Summit Consulting Group, Inc. (Mill Creek, 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 Timothy Reisenauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Reisenauer accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Timothy Reisenauer 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 Timothy Reisenauer was last updated on January 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.