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SISAY FAYNATO
NPI 1679303564
Nurse Practitioner - Psychiatric/Mental Health in Lynnwood, WA

Active since August 05, 2024PECOS Enrolled
4610 200TH ST SW STE J, LYNNWOOD, WA 98036(425) 263-6341(425) 678-8457 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sisay Faynato NPPES

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

SISAY FAYNATO (NPI 1679303564) is an individual psychiatric/mental health provider in Lynnwood, Washington, licensed in Washington (AP61572832) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679303564
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSISAY FAYNATO
Location Address4610 200TH ST SW STE JLynnwood, WA 98036-6606
Mailing Address4610 200th St Sw Ste JLynnwood, WA 98036-6606 · (425) 263-6341 · Fax (425) 678-8457
Phone(425) 263-6341
Fax(425) 678-8457
Sole ProprietorYes
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1679303564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61572832
4610 200TH ST SW STE J, Lynnwood, WA 98036
Open in Google Maps ↗

Accepted Insurance

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

Sisay Faynato 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 Sisay Faynato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Era Mental Health PLLC
Same address
Psychiatric/Mental Health
4630 200TH ST SW STE F
Lynnwood, WA 98036
  • Reassigned Medicare billing, Washington enrollment
  • 12 clinicians in this Medicare group
NPI 1073198602 (425) 510-1196

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

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

MR. JACOB JUSTIN TAYLOR MA, CP.
Counselor (Mental Health)
4610 200TH ST SW STE J
LYNNWOOD, WA 98036
Snohomish County (425) 210-1093

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 Sisay Faynato's NPI number?

The NPI number for Sisay Faynato is 1679303564. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Sisay Faynato located?

Sisay Faynato practices at 4610 200th St SW Ste J, Lynnwood, WA 98036. The listed phone number is (425) 263-6341.

What is Sisay Faynato's specialty?

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

Is Sisay Faynato enrolled in Medicare?

Yes. Sisay Faynato is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sisay Faynato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sisay Faynato reassigns Medicare benefits to New Era Mental Health PLLC (Lynnwood, 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 Sisay Faynato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sisay Faynato accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Sisay Faynato 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 Sisay Faynato was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.