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: October 18, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vivian Kisanga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group
Psychiatry
7170 PRESTON RD STE 200
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 18 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 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.

Which organizations bill Medicare for Vivian Kisanga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivian Kisanga reassigns Medicare benefits to 2 organizations: Mindful Therapy Group PC (Mountlake Terrace, WA) and Satish Narayan MD PA (Plano, TX). 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 Vivian Kisanga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivian Kisanga accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.