JOHANNA VILLASENOR NARDINI M.D.
NPI 1780046839
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lacey, WA
About Johanna Villasenor Nardini M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHANNA VILLASENOR NARDINI M.D. (NPI 1780046839) is an individual child & adolescent psychiatry provider in Lacey, Washington, licensed in Washington (MD61413990) and active in the NPI registry since March 2016. She has opted out of Medicare through November 12, 2027 and remains eligible to order and refer and maintains a secondary practice location in Austin.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Johanna Villasenor Nardini M.d. 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 12, 2025 through November 12, 2027.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Johanna Nardini's NPI number?
The NPI number for Johanna Nardini is 1780046839. It was assigned to this individual provider in the NPPES registry on March 27, 2016.
Where is Johanna Nardini located?
Johanna Nardini practices at 4405 7th Ave SE Ste 200, Lacey, WA 98503. The listed phone number is (210) 201-2656.
What is Johanna Nardini's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Johanna Nardini enrolled in Medicare?
No. Johanna Nardini has opted out of Medicare through November 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Johanna Nardini accept?
Health plans from Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Johanna Nardini 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 Johanna Nardini was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Johanna Villasenor Nardini, M.D. · NPI 1780046839
Child & Adolescent Psychiatry physician in Lacey, Washington. Individual provider, active in the CMS NPPES registry since March 27, 2016.
## Identity
- **NPI:** 1780046839 (Entity type: Individual)
- **Enumerated:** March 27, 2016
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** MD61413990 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4405 7TH AVE SE STE 200, Lacey, WA 98503-1055
- **Phone:** (210) 201-2656
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 12, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** December 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780046839) · Data from the CMS NPPES public registry.