MARYANNE WAMBUI MIRIE RN
NPI 1407405657
Nurse Practitioner - Psychiatric/Mental Health in Puyallup, WA

Active since September 10, 2019PECOS EnrolledAccepts Medicare Assignment
17224 117TH AVE E, PUYALLUP, WA 98374(206) 407-4435 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 26, 2026, Apr 26, 2024, Sep 10, 2019 (3 updates tracked since 2019).

About Maryanne Wambui Mirie Rn NPPES

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

MARYANNE WAMBUI MIRIE RN (NPI 1407405657) is an individual psychiatric/mental health provider in Puyallup, Washington, licensed in Washington (AP61557447) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Centralia, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407405657
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARYANNE WAMBUI MIRIECredential: RN
Location Address17224 117TH AVE EPuyallup, WA 98374-9393
Mailing Address17224 117th Ave EPuyallup, WA 98374-9393 · (206) 407-4435
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 10, 2019
Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1407405657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61557447
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60724733 (WA)
17224 117TH AVE E, Puyallup, WA 98374

Secondary Practice Location 1

Location 13510 Steelhammer DrCentralia, WA 98531-1532 · Phone (360) 623-8020

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

Maryanne Wambui Mirie Rn 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 ID7113455791
PECOS Enrollment IDI20250109003261
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

4

Medicare enrollment records show Maryanne Mirie reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
1706 S MERIDIAN STE 120
Puyallup, WA 98371
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Community Based Residential Treatment Facility, Mental Illness
7224 PACIFIC HIGHWAY EAST
Milton, WA 98354
  • Reassigned Medicare billing, Washington enrollment
  • 76 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
Psychiatry
3955 156TH ST NE
Marysville, WA 98271
  • Reassigned Medicare billing, Washington enrollment
  • 28 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 98374 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Maryanne Mirie's NPI number?

The NPI number for Maryanne Mirie is 1407405657. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Maryanne Mirie located?

Maryanne Mirie practices at 17224 117th Ave E, Puyallup, WA 98374. The listed phone number is (206) 407-4435.

What is Maryanne Mirie's specialty?

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

Is Maryanne Mirie enrolled in Medicare?

Yes. Maryanne Mirie 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 organizations bill Medicare for Maryanne Mirie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryanne Mirie reassigns Medicare benefits to 4 organizations: Multicare Health System (Puyallup, WA), Telecare Mental Health Services Of Washington, Inc. (Milton, WA), Alliance For South Sound Health (Tacoma, WA) and Vest Seattle, LLC (Marysville, 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 Maryanne Mirie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryanne Mirie accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Maryanne Mirie 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 Maryanne Mirie was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.