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VIVIAN KISANGA PMHNP-BC
NPI 1821530155
Nurse Practitioner - Psychiatric/Mental Health in Puyallup, WA

Active since November 17, 2016PECOS EnrolledAccepts Medicare Assignment
18715 106TH AVENUE CT E, PUYALLUP, WA 98374(206) 759-0207 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2022, Nov 22, 2016, Nov 17, 2016 (3 updates tracked since 2016).

About Vivian Kisanga Pmhnp-bc NPPES

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

VIVIAN KISANGA PMHNP-BC (NPI 1821530155) is an individual psychiatric/mental health provider in Puyallup, Washington, licensed in Washington (AP61183787) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1821530155
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameVIVIAN KISANGACredential: PMHNP-BC
Location Address18715 106TH AVENUE CT EPuyallup, WA 98374-8735
Mailing Address18715 106th Avenue Ct E Ste 260Puyallup, WA 98374-8735 · (817) 657-5107
Phone(206) 759-0207
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 17, 2016
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1821530155 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
Licenses✔ Licensed in WA · AP61183787✔ Licensed in TX · AP132350
18715 106TH AVENUE CT E, Puyallup, WA 98374
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vivian Kisanga Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456632447
PECOS Enrollment IDI20220310002411
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 98374 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Vivian Kisanga's NPI number?

The NPI number for Vivian Kisanga is 1821530155. It was assigned to this individual provider in the NPPES registry on November 17, 2016.

Where is Vivian Kisanga located?

Vivian Kisanga practices at 18715 106th Avenue Ct E, Puyallup, WA 98374. The listed phone number is (206) 759-0207.

What is Vivian Kisanga's specialty?

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

Is Vivian Kisanga enrolled in Medicare?

Yes. Vivian Kisanga is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vivian Kisanga accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Vivian Kisanga 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 Vivian Kisanga was last updated on August 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.