LYUDMILA POTYOMKIN ARNP
NPI 1689364671
Nurse Practitioner - Psychiatric/Mental Health in Lynnwood, WA

Active since May 11, 2023Opted out of Medicare · through Nov 13, 2027
16824 44TH AVE W STE 170, LYNNWOOD, WA 98037(425) 908-0123 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lyudmila Potyomkin Arnp NPPES

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

LYUDMILA POTYOMKIN ARNP (NPI 1689364671) is an individual psychiatric/mental health provider in Lynnwood, Washington, licensed in Washington (AP61442635) and active in the NPI registry since May 2023. She has opted out of Medicare through November 13, 2027 and maintains a secondary practice location in Redmond.

NPPES Registry Identity

NPI1689364671
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLYUDMILA POTYOMKINCredential: ARNP
Location Address16824 44TH AVE W STE 170Lynnwood, WA 98037-3117
Mailing Address8793 233rd Pl NeRedmond, WA 98053-1974 · (206) 290-7889
Sole ProprietorYes
Enumeration DateMay 11, 2023
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1689364671 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 · AP61442635
16824 44TH AVE W STE 170, Lynnwood, WA 98037

Secondary Practice Location 1

Location 18793 233rd Pl NERedmond, WA 98053-1974 · Phone (206) 290-7889

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Lyudmila Potyomkin Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 13, 2025 through November 13, 2027.

Opt-Out Effective DateNovember 13, 2025
Opt-Out In Effect ThroughNovember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Nurse Practitioner (Psychiatric/Mental Health)
16824 44TH AVE W STE 170
LYNNWOOD, WA 98037
Psychiatry & Neurology (Psychiatry)
16824 44TH AVE W STE 170
LYNNWOOD, WA 98037

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 Lyudmila Potyomkin's NPI number?

The NPI number for Lyudmila Potyomkin is 1689364671. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Lyudmila Potyomkin located?

Lyudmila Potyomkin practices at 16824 44th Ave W Ste 170, Lynnwood, WA 98037. The listed phone number is (425) 908-0123.

What is Lyudmila Potyomkin's specialty?

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

Is Lyudmila Potyomkin enrolled in Medicare?

No. Lyudmila Potyomkin has opted out of Medicare through November 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lyudmila Potyomkin accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lyudmila Potyomkin 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 Lyudmila Potyomkin was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.