MARY W KIMANI RN
NPI 1770157836
Nurse Practitioner - Psychiatric/Mental Health in Vancouver, WA
About Mary W Kimani Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY W KIMANI RN (NPI 1770157836) is an individual psychiatric/mental health provider in Vancouver, Washington, licensed in Washington (AP61477341) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary W Kimani Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Kimani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fife, WA 98424
- Reassigned Medicare billing, Washington enrollment
- 7 clinicians in this Medicare group
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 98684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VANCOUVER, WA 98684
VANCOUVER, WA 98684
VANCOUVER, WA 98684
VANCOUVER, WA 98684
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 Mary Kimani's NPI number?
The NPI number for Mary Kimani is 1770157836. It was assigned to this individual provider in the NPPES registry on May 13, 2021.
Where is Mary Kimani located?
Mary Kimani practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (800) 813-2000.
What is Mary Kimani's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mary Kimani enrolled in Medicare?
Yes. Mary Kimani is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Kimani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kimani reassigns Medicare benefits to Wapato Creek Health And Wellness, Inc. (Fife, 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 Mary Kimani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Kimani accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mary Kimani 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 Mary Kimani was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mary W Kimani, RN · NPI 1770157836
Psychiatric/Mental Health physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since May 13, 2021.
## Identity
- **NPI:** 1770157836 (Entity type: Individual)
- **Enumerated:** May 13, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP61477341 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12607 SE MILL PLAIN BLVD, Vancouver, WA 98684-4098
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wapato Creek Health And Wellness, Inc. (NPI 1245999655, Fife, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1770157836) · Data from the CMS NPPES public registry.