Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MIGUEL ANGEL DE LA MORA DNP, PMHNP
NPI 1821874462
Nurse Practitioner - Psychiatric/Mental Health in Kennewick, WA

Q: What is Miguel De La Mora's NPI number?

The NPI number for Miguel De La Mora is 1821874462. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Q: What is Miguel De La Mora's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miguel De La Mora was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.

Active since September 07, 2023PECOS Enrolled

1030 N CENTER PKWY STE 113, KENNEWICK, WA 99336(509) 910-4559(509) 447-7455 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 27, 2025, Dec 18, 2024, Apr 4, 2024 and 4 more (7 updates tracked since 2023).

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About Dr. Miguel Angel De La Mora Dnp, Pmhnp NPPES

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

DR. MIGUEL ANGEL DE LA MORA DNP, PMHNP (NPI 1821874462) is an individual psychiatric/mental health provider in Kennewick, Washington, licensed in Washington (AP61485710) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1821874462

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. MIGUEL ANGEL DE LA MORACredential: DNP, PMHNP

Location Address1030 N CENTER PKWY STE 113Kennewick, WA 99336-7160

Mailing Address1030 N Center Pkwy Ste 113Kennewick, WA 99336-7160 · (509) 910-4559 · Fax (509) 447-7455

Phone(509) 910-4559

Fax(509) 447-7455

Sole ProprietorYes

Enumeration DateSeptember 7, 2023

Last NPPES UpdateJuly 1, 20267 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1821874462 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

License✔ Licensed in WA · AP61485710

1030 N CENTER PKWY STE 113, Kennewick, WA 99336

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Secondary Practice Locations 3

Location 111900 NE 1st St Ste 3049Bellevue, WA 98005-3046 · Phone (425) 600-5227 · Fax (509) 447-7455

Location 2650 NE Holladay St Ste 1675Portland, OR 97232-2045 · Phone (503) 832-5105 · Fax (509) 447-7455

Location 31220 Main St Ste 400Vancouver, WA 98660-2963 · Phone (360) 977-7605 · Fax (509) 447-7455

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Dr. Miguel Angel De La Mora Dnp, Pmhnp 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 99336 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.

Other Providers at the Same Location NPPES

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

MODERN PSYCHIATRY

Nurse Practitioner (Psychiatric/Mental Health)

1030 N CENTER PKWY STE 113
KENNEWICK, WA 99336

Benton County (509) 910-4559

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 Miguel De La Mora's NPI number?

The NPI number for Miguel De La Mora is 1821874462. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Miguel De La Mora located?

Miguel De La Mora practices at 1030 N Center Pkwy Ste 113, Kennewick, WA 99336. The listed phone number is (509) 910-4559.

What is Miguel De La Mora's specialty?

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

Is Miguel De La Mora enrolled in Medicare?

Yes. Miguel De La Mora is registered in the Medicare PECOS enrollment system.

What insurance does Miguel De La Mora accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Miguel De La Mora 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 Miguel De La Mora was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.