SPURGEON CREEK PSYCHIATRY PLLC
NPI 1942084215
Nurse Practitioner - Psychiatric/Mental Health in Lacey, WA
About Spurgeon Creek Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPURGEON CREEK PSYCHIATRY PLLC (NPI 1942084215) is a healthcare organization registered as a psychiatric/mental health in Lacey, Washington and active in the NPI registry since August 2023. The organization lists Susan Lynn Cummings, Principal, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spurgeon Creek Psychiatry 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 Spurgeon Creek Psychiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Spurgeon Creek Psychiatry PLLC's NPI number?
The NPI number for Spurgeon Creek Psychiatry PLLC is 1942084215. It was assigned to this organization in the NPPES registry on August 18, 2023.
Where is Spurgeon Creek Psychiatry PLLC located?
Spurgeon Creek Psychiatry PLLC is located at 4405 7th Ave SE Ste 200, Lacey, WA 98503. The listed phone number is (360) 504-6128.
What is Spurgeon Creek Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Spurgeon Creek Psychiatry PLLC enrolled in Medicare?
Yes. Spurgeon Creek Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spurgeon Creek Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Spurgeon Creek Psychiatry 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.
What insurance does Spurgeon Creek Psychiatry PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Spurgeon Creek Psychiatry PLLC 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 Spurgeon Creek Psychiatry PLLC was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Spurgeon Creek Psychiatry Pllc · NPI 1942084215
Psychiatric/Mental Health organization in Lacey, Washington. Organization record, active in the CMS NPPES registry since August 18, 2023.
## Identity
- **NPI:** 1942084215 (Entity type: Organization)
- **Enumerated:** August 18, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Susan Cummings, PRINCIPAL
## Practice location
- **Address:** 4405 7TH AVE SE STE 200, Lacey, WA 98503-1055
- **Phone:** (360) 504-6128
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942084215) · Data from the CMS NPPES public registry.