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MS. AIMEE THERESE WAGONBLAST ARNP
NPI 1992876478
Nurse Practitioner - Psychiatric/Mental Health in Chehalis, WA

Active since November 13, 2006Opted out of Medicare · through Jan 1, 2027
151 NE HAMPE WAY SUITE B2-6, CHEHALIS, WA 98532(360) 748-3049(360) 748-2129 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Aimee Therese Wagonblast Arnp NPPES

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

MS. AIMEE THERESE WAGONBLAST ARNP (NPI 1992876478) is an individual psychiatric/mental health provider in Chehalis, Washington, licensed in Washington (AP30007079) and active in the NPI registry since November 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992876478
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. AIMEE THERESE WAGONBLASTCredential: ARNP
Location Address151 NE HAMPE WAY SUITE B2-6Chehalis, WA 98532
Mailing Address516 Sandalwood Dr SwOlympia, WA 98502 · (360) 581-2646
Phone(360) 748-3049
Fax(360) 748-2129
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateJune 21, 2011
✔ NPI 1992876478 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
License✔ Licensed in WA · AP30007079
151 NE HAMPE WAY SUITE B2-6, Chehalis, WA 98532
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Aimee Therese Wagonblast Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98532 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Aimee Wagonblast's NPI number?

The NPI number for Aimee Wagonblast is 1992876478. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Aimee Wagonblast located?

Aimee Wagonblast practices at 151 NE Hampe Way Suite B2-6, Chehalis, WA 98532. The listed phone number is (360) 748-3049.

What is Aimee Wagonblast's specialty?

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

Is Aimee Wagonblast enrolled in Medicare?

No. Aimee Wagonblast has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Aimee Wagonblast was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.