DR. KENNETH BRITT DYER DNP, PMHNP-BC
NPI 1790270296
Nurse Practitioner - Psychiatric/Mental Health in Mountlake Terrace, WA
About Dr. Kenneth Britt Dyer Dnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH BRITT DYER DNP, PMHNP-BC (NPI 1790270296) is an individual psychiatric/mental health provider in Mountlake Terrace, Washington, licensed in Washington (AP60863385) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
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)
Dr. Kenneth Britt Dyer Dnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Dyer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 135 clinicians in this Medicare group
Mount Vernon, WA 98273
- Reassigned Medicare billing, Washington enrollment
- 29 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 98043 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.
MOUNTLAKE TERRACE, WA 98043
MOUNTLAKE TERRACE, WA 98043
MOUNTLAKE TERRACE, WA 98043
MOUNTLAKE TERRACE, WA 98043
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 Kenneth Dyer's NPI number?
The NPI number for Kenneth Dyer is 1790270296. It was assigned to this individual provider in the NPPES registry on June 27, 2018.
Where is Kenneth Dyer located?
Kenneth Dyer practices at 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043. The listed phone number is (425) 640-7009.
What is Kenneth Dyer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kenneth Dyer enrolled in Medicare?
Yes. Kenneth Dyer is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kenneth Dyer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Dyer reassigns Medicare benefits to 3 organizations: Mindful Therapy Group PC (Mountlake Terrace, WA), Providence Health & Services-Wa (Everett, WA) and Shifa Health PLLC (Mount Vernon, WA). Each 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 Kenneth Dyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Dyer accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kenneth Dyer 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 Kenneth Dyer was last updated on June 19, 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.
# Dr. Kenneth Britt Dyer, DNP, PMHNP-BC · NPI 1790270296
Psychiatric/Mental Health physician in Mountlake Terrace, Washington. Individual provider, active in the CMS NPPES registry since June 27, 2018.
## Identity
- **NPI:** 1790270296 (Entity type: Individual)
- **Enumerated:** June 27, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP60863385 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 21907 64TH AVE W STE 200, Mountlake Terrace, WA 98043-6200
- **Phone:** (425) 640-7009
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA); Providence Health & Services-Wa (NPI 1972819175, Everett, WA); Shifa Health PLLC (NPI 1356415327, Mount Vernon, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790270296) · Data from the CMS NPPES public registry.