NURTURING MINDS WA PLLC
NPI 1891573408
Nurse Practitioner - Psychiatric/Mental Health in Lynnwood, WA

Active since September 15, 2023
17415 52ND AVE W UNIT 4, LYNNWOOD, WA 98037(206) 330-4022 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2025, May 7, 2024, Mar 6, 2024 and 1 more (4 updates tracked since 2023).

About Nurturing Minds Wa Pllc NPPES

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

NURTURING MINDS WA PLLC (NPI 1891573408) is a healthcare organization registered as a psychiatric/mental health in Lynnwood, Washington and active in the NPI registry since September 2023. The organization maintains 2 additional practice locations and lists Patrick C Eneje, Director, as its authorized official.

NPPES Registry Identity

NPI1891573408
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNURTURING MINDS WA PLLC
Location Address17415 52ND AVE W UNIT 4Lynnwood, WA 98037-3082
Mailing Address300 Lenora St # 6083Seattle, WA 98121-2411 · (206) 330-4022
Organization SubpartNo
Authorized OfficialPatrick C EnejeDirector · (615) 693-8471
Enumeration DateSeptember 15, 2023
Last NPPES UpdateMarch 31, 20254 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1891573408 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
17415 52ND AVE W UNIT 4, Lynnwood, WA 98037

Secondary Practice Locations 2

Location 1608 Applejack CtAntioch, TN 37013-4893 · Phone (615) 693-8471
Location 21905 Sherman Street Ste 200 #2029Denver, CO 80203 · Phone (206) 330-4022

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nurturing Minds Wa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nurturing Minds Wa PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1124710140
17415 52ND AVE W UNIT 4
Lynnwood, WA 98037
(206) 330-4022
✔ PECOS✔ Accepts MedicareSame address

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

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 Nurturing Minds Wa PLLC's NPI number?

The NPI number for Nurturing Minds Wa PLLC is 1891573408. It was assigned to this organization in the NPPES registry on September 15, 2023.

Where is Nurturing Minds Wa PLLC located?

Nurturing Minds Wa PLLC is located at 17415 52nd Ave W Unit 4, Lynnwood, WA 98037. The listed phone number is (206) 330-4022.

What is Nurturing Minds Wa PLLC's specialty?

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

Is Nurturing Minds Wa PLLC enrolled in Medicare?

Yes. Nurturing Minds Wa PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nurturing Minds Wa PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nurturing Minds Wa PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nurturing Minds Wa PLLC was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.