NATHAN EZZO
NPI 1952646903
Social Worker - Clinical in Burien, WA
About Nathan Ezzo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN EZZO (NPI 1952646903) is an individual clinical provider in Burien, Washington, licensed in Washington (LW60951940) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
Nathan Ezzo 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nathan Ezzo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 clinicians in this Medicare group
Penndel, PA 19047
- Reassigned Medicare billing, Pennsylvania enrollment
- 34 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 98146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nathan Ezzo's NPI number?
The NPI number for Nathan Ezzo is 1952646903. It was assigned to this individual provider in the NPPES registry on December 3, 2012.
Where is Nathan Ezzo located?
Nathan Ezzo practices at 839 SW 126th St, Burien, WA 98146. The listed phone number is (215) 692-3049.
What is Nathan Ezzo's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Nathan Ezzo enrolled in Medicare?
Yes. Nathan Ezzo 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 Nathan Ezzo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Ezzo reassigns Medicare benefits to 2 organizations: Mindful Therapy Group PC (Mountlake Terrace, WA) and Penndel Mental Health Center, Inc. (Penndel, PA). 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 Nathan Ezzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Ezzo accept?
Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Nathan Ezzo 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 Nathan Ezzo was last updated on September 8, 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.
# Nathan Ezzo · NPI 1952646903
Clinical provider in Burien, Washington. Individual provider, active in the CMS NPPES registry since December 3, 2012.
## Identity
- **NPI:** 1952646903 (Entity type: Individual)
- **Enumerated:** December 3, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW60951940 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 839 SW 126TH ST, Burien, WA 98146-2752
- **Phone:** (215) 692-3049
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA); Penndel Mental Health Center, Inc. (NPI 1710019096, Penndel, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** September 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1952646903) · Data from the CMS NPPES public registry.