SEREYRATH LIM NP
NPI 1407618754
Nurse Practitioner in Longview, WA

Q: What is Sereyrath Lim's NPI number?

The NPI number for Sereyrath Lim is 1407618754. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Q: What is Sereyrath Lim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sereyrath Lim was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 23, 2024PECOS Enrolled

1057 12TH AVE, LONGVIEW, WA 98632(360) 261-7848(360) 414-1342 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, Apr 29, 2026 (2 updates tracked since 2026).

On this page

About Sereyrath Lim Np NPPES

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

SEREYRATH LIM NP (NPI 1407618754) is an individual nurse practitioner in Longview, Washington, licensed in Washington (AP61521919) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Grays Harbor Community Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407618754

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameSEREYRATH LIMCredential: NP

Location Address1057 12TH AVELongview, WA 98632-2509

Mailing Address2425 31st Ave Sw Unit BPuyallup, WA 98373-4012 · (253) 330-4777

Phone(360) 261-7848

Fax(360) 414-1342

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 23, 2024

Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1407618754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP61521919

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP61521919 (WA)

1057 12TH AVE, Longview, WA 98632

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, 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)

Sereyrath Lim Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779921895

PECOS Enrollment IDI20240409000432

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

Medicare enrollment records show Sereyrath Lim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Hill Family Medicine PC

77 mi

Family Medicine

3908 10TH ST SE
Puyallup, WA 98374

Reassigned Medicare billing, Washington enrollment
58 clinicians in this Medicare group

NPI 1538253331 (253) 848-5951

Northwest Emergency Physicians LLC

147 mi

Emergency Medicine

330 S STILLAGUAMISH AVE
Arlington, WA 98223

Reassigned Medicare billing, Washington enrollment
519 clinicians in this Medicare group

NPI 1235172370 (925) 251-6901

Family Medicine Clinic Of Federal Way

Family Medicine

34618 11TH PL S. SUITE #100
Federal Way, WA 98003

Reassigned Medicare billing, Washington enrollment
3 clinicians in this Medicare group

NPI 1629113956 (866) 499-8990

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services33 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500031

Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County

Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500129

Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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.

Other Providers at the Same Location NPPES 20

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

DIAN COOPER

Counselor (Mental Health)