WELLBEING MEDICAL CLINIC PLLC
NPI 1407715949
Nurse Practitioner - Primary Care in Lakewood, WA

Active since January 20, 2026CLIA 50D2326649 · Waiver
3520 96TH ST S STE 109, LAKEWOOD, WA 98499(801) 602-2645 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellbeing Medical Clinic Pllc NPPES

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

WELLBEING MEDICAL CLINIC PLLC (NPI 1407715949) is a healthcare organization registered as a primary care in Lakewood, Washington and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kyunghee Seo, Fnp/pmhnp, as its authorized official.

NPPES Registry Identity

NPI1407715949
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameWELLBEING MEDICAL CLINIC PLLC
Location Address3520 96TH ST S STE 109Lakewood, WA 98499-9251
Mailing Address3520 96th St S Ste 109Lakewood, WA 98499-9251 · (801) 602-2645
Organization SubpartNo
Authorized OfficialKyunghee SeoFnp/pmhnp · (253) 267-1202
Enumeration DateJanuary 20, 2026
NPPES CertifiedJanuary 20, 2026
✔ NPI 1407715949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
3520 96TH ST S STE 109, Lakewood, WA 98499

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Wellbeing Medical Clinic 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 Wellbeing Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1073903100
3520 96TH ST S STE 109
Lakewood, WA 98499
(801) 602-2645
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2326649

Wellbeing Medical Clinic PLLC · Lakewood, WA
Active · expires Apr 4, 2028
CLIA Number50D2326649
Laboratory TypeClinic
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKyunghee Seo
Laboratory Phone(253) 267-1202
Laboratory LocationWellbeing Medical Clinic PLLC3520 S 96th St Ste 109, Lakewood, WA 98499
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wellbeing Medical Clinic PLLC's NPI number?

The NPI number for Wellbeing Medical Clinic PLLC is 1407715949. It was assigned to this organization in the NPPES registry on January 20, 2026.

Where is Wellbeing Medical Clinic PLLC located?

Wellbeing Medical Clinic PLLC is located at 3520 96th St S Ste 109, Lakewood, WA 98499. The listed phone number is (801) 602-2645.

What is Wellbeing Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Wellbeing Medical Clinic PLLC enrolled in Medicare?

Yes. Wellbeing Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellbeing Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wellbeing Medical Clinic 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.

Does Wellbeing Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2326649) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellbeing Medical Clinic PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Wellbeing Medical Clinic 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 Wellbeing Medical Clinic PLLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.