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MASAKO KOMIYAMA LICSW, ARNP
NPI 1790113413
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Active since October 15, 2013PECOS Enrolled
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144(206) 695-7600(206) 695-7606 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 10, 2019, Nov 30, 2018 (2 updates tracked since 2018).

About Masako Komiyama Licsw, Arnp NPPES

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

MASAKO KOMIYAMA LICSW, ARNP (NPI 1790113413) is an individual psychiatric/mental health provider in Seattle, Washington, licensed in Washington (AP60994940) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790113413
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMASAKO KOMIYAMACredential: LICSW, ARNP
Location Address3639 MARTIN LUTHER KING JR WAY SSeattle, WA 98144
Mailing Address3639 Martin Luther King Jr Way SSeattle, WA 98144-6847 · (206) 695-7600 · Fax (206) 695-7606
Phone(206) 695-7600
Fax(206) 695-7606
Sole ProprietorNo
Enumeration DateOctober 15, 2013
Last NPPES UpdateOctober 10, 20192 updates tracked since enumeration
✔ NPI 1790113413 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 · AP60994940
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 743080021 (WA)
3639 MARTIN LUTHER KING JR WAY S, Seattle, WA 98144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Masako Komiyama Licsw, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98144 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 20

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

KAIWEN TAN LICSW
Social Worker
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
King County (206) 695-7600
JAMALIGIAH ABDOROHMAN
Registered Nurse
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
King County (206) 774-2465
PAULINE FRANCISCO SALGADO
Counselor
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
King County (206) 695-7600
MRS. CHAU T DANG MSW
Social Worker
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
King County (206) 774-2466
NIDHI BERRY MSW
Social Worker (Clinical)
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
King County (206) 695-5974
RATT THEAM
Social Worker
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
King County (206) 695-7600
COURTNEY YASUNAGA
Counselor
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
King County (206) 695-7600
KA YAN CONNIE LEUNG LMHCA
Counselor (Mental Health)
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144
King County (206) 695-7620

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 Masako Komiyama's NPI number?

The NPI number for Masako Komiyama is 1790113413. It was assigned to this individual provider in the NPPES registry on October 15, 2013.

Where is Masako Komiyama located?

Masako Komiyama practices at 3639 Martin Luther King Jr Way S, Seattle, WA 98144. The listed phone number is (206) 695-7600.

What is Masako Komiyama's specialty?

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

Is Masako Komiyama enrolled in Medicare?

Yes. Masako Komiyama is registered in the Medicare PECOS enrollment system.

What insurance does Masako Komiyama accept?

Health plans from Providence Health Plan list Masako Komiyama 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 Masako Komiyama was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.