MS. SHERESE DANIELLE EZELLE
NPI 1962708610
Counselor - Professional in Auburn, WA
About Ms. Sherese Danielle Ezelle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHERESE DANIELLE EZELLE (NPI 1962708610) is an individual professional provider in Auburn, Washington, licensed in Washington (LH60664607) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
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 (PECOS)
Ms. Sherese Danielle Ezelle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sherese Ezelle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redmond, WA 98052
- Reassigned Medicare billing, Washington enrollment
- 69 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sherese Ezelle's NPI number?
The NPI number for Sherese Ezelle is 1962708610. It was assigned to this individual provider in the NPPES registry on January 27, 2011.
Where is Sherese Ezelle located?
Sherese Ezelle practices at 702 37th St SE Apt B, Auburn, WA 98002. The listed phone number is (971) 770-0724.
What is Sherese Ezelle's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Sherese Ezelle enrolled in Medicare?
Yes. Sherese Ezelle is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sherese Ezelle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sherese Ezelle reassigns Medicare benefits to Lightheart Associates Ps (Redmond, WA). The 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 Sherese Ezelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sherese Ezelle accept?
Health plans from Oscar Health, Oscar Insurance Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and UnitedHealthcare list Sherese Ezelle 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 Sherese Ezelle was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Sherese Danielle Ezelle · NPI 1962708610
Professional provider in Auburn, Washington. Individual provider, active in the CMS NPPES registry since January 27, 2011.
## Identity
- **NPI:** 1962708610 (Entity type: Individual)
- **Enumerated:** January 27, 2011
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LH60664607 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 702 37TH ST SE APT B, Auburn, WA 98002-8062
- **Phone:** (971) 770-0724
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lightheart Associates Ps (NPI 1609221720, Redmond, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962708610) · Data from the CMS NPPES public registry.