DR. MODUPEOLA SONUYI SCOTT DNP, PMHNP-BC
NPI 1871994269
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Q: What is Modupeola Sonuyi Scott's NPI number?

The NPI number for Modupeola Sonuyi Scott is 1871994269. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Q: What is Modupeola Sonuyi Scott's specialty?

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

Active since September 04, 2014PECOS EnrolledAccepts Medicare Assignment

9650 15TH AVE SW STE 100, SEATTLE, WA 98106(206) 965-1055(206) 965-1032 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 20, 2024, Dec 5, 2024, May 23, 2022 (3 updates tracked since 2022).

On this page

About Dr. Modupeola Sonuyi Scott Dnp, Pmhnp-bc NPPES

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

DR. MODUPEOLA SONUYI SCOTT DNP, PMHNP-BC (NPI 1871994269) is an individual psychiatric/mental health provider in Seattle, Washington, licensed in Washington (AP61605197) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1871994269

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. MODUPEOLA SONUYI SCOTTCredential: DNP, PMHNP-BC

Location Address9650 15TH AVE SW STE 100Seattle, WA 98106-2576

Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (253) 681-6626

Phone(206) 965-1055

Fax(206) 965-1032

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 4, 2014

Last NPPES UpdateDecember 20, 20243 updates tracked since enumeration

NPPES CertifiedDecember 20, 2024

✔ NPI 1871994269 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 · AP61605197

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP5738 (AZ)

9650 15TH AVE SW STE 100, Seattle, WA 98106

Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Modupeola Sonuyi Scott Dnp, 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 ID8325260136

PECOS Enrollment IDI20241122004067

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

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

Sea Mar Community Health Centers

Same address

Federally Qualified Health Center (FQHC)

9650 15TH AVE SW STE 100
Seattle, WA 98106

Reassigned Medicare billing, Washington enrollment
525 clinicians in this Medicare group

NPI 1346398666 (206) 965-1000

Providence Health & Services- Washington

24 mi

Family Medicine

16708 BOTHELL-EVERETT HIGHWAY, SUITE 201
Mill Creek, WA 98012

Reassigned Medicare billing, Washington enrollment
705 clinicians in this Medicare group

NPI 1790014504 (425) 482-9020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98106 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.

SEA MAR COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))