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MR. LEIF BENJESTORF ARNP
NPI 1619109774
Nurse Practitioner - Psychiatric/Mental Health in Lynnwood, WA

Active since August 21, 2009PECOS Enrolled
19109 36TH AVE W, SUITE # 209, LYNNWOOD, WA 98036(206) 569-8457(425) 673-7586 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Leif Benjestorf Arnp NPPES

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

MR. LEIF BENJESTORF ARNP (NPI 1619109774) is an individual psychiatric/mental health provider in Lynnwood, Washington, licensed in Washington (AP60201664) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619109774
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. LEIF BENJESTORFCredential: ARNP
Location Address19109 36TH AVE W, SUITE # 209Lynnwood, WA 98036-5767
Mailing Address19109 36th Ave W, Suite # 209Lynnwood, WA 98036-5767 · (206) 569-8457 · Fax (425) 673-7586
Phone(206) 569-8457
Fax(425) 673-7586
Sole ProprietorNo
Enumeration DateAugust 21, 2009
Last NPPES UpdateAugust 7, 2015
✔ NPI 1619109774 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 · AP60201664
Also ListedRegistered NurseTaxonomy 163W00000X · License RN00174674 (WA)
19109 36TH AVE W, Lynnwood, WA 98036
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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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Leif Benjestorf Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Leif Benjestorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shifa Health PLLC
41 mi
Cognitive & Behavioral
1103 CLEVELAND AVE
Mount Vernon, WA 98273
  • Reassigned Medicare billing, Washington enrollment
  • 29 clinicians in this Medicare group
NPI 1356415327 (360) 336-6868

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 98036 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 2

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

DR. DONALD GENE WORTHAM MD
Clinic/Center (Ambulatory Surgical)
19109 36TH AVE W, SUITE 109
LYNNWOOD, WA 98036
Snohomish County (425) 744-7771
ERIKA GIRALDO PMHNP, DNP
Nurse Practitioner (Psychiatric/Mental Health)
19109 36TH AVE W, #209
LYNNWOOD, WA 98036
Snohomish County (425) 673-7585

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 Leif Benjestorf's NPI number?

The NPI number for Leif Benjestorf is 1619109774. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Where is Leif Benjestorf located?

Leif Benjestorf practices at 19109 36th Ave W Suite # 209, Lynnwood, WA 98036. The listed phone number is (206) 569-8457.

What is Leif Benjestorf's specialty?

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

Is Leif Benjestorf enrolled in Medicare?

Yes. Leif Benjestorf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leif Benjestorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leif Benjestorf reassigns Medicare benefits to Shifa Health PLLC (Mount Vernon, 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 Leif Benjestorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leif Benjestorf accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Leif Benjestorf 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 Leif Benjestorf was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.