Individual provider Active NPI

Shannon Troy Presler, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1003382763
Registry record updated Oct 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60897132 Issued in WA
Practice address
5941 California Ave SW Apt 105
Seattle, WA 98136-1665
Phone
(206) 744-3565
NPI assigned
Oct 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60897132 WA Primary

Addresses

Primary practice location

5941 California Ave SW Apt 105
Seattle, WA 98136-1665

Mailing address

5941 California Ave SW Apt 105
Seattle, WA 98136-1665
Phone (206) 744-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190524000481 WA Practitioner - Nurse Practitioner 9234472796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

123 NW 36TH St
Suite 210
Seattle, WA 98107-4959
Phone (425) 640-7009

325 9TH Ave
Seattle, WA 98104-2420
Phone (206) 731-3000

Hospital & facility affiliations

  • Harborview Medical Center Hospital, Seattle, WA, CCN 500064

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Jan 24, 2020 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Mar 30, 2019 Accepting new patients

Locations

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

123 NW 36th St
Ste 210
Seattle, WA 98107
Phone (206) 329-2050

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540080000000",
    "number": "1003382763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 CALIFORNIA AVE SW APT 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361665",
            "telephone_number": "206-744-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 CALIFORNIA AVE SW APT 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361665",
            "telephone_number": "206-744-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLER",
        "first_name": "SHANNON",
        "middle_name": "TROY",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-21",
        "last_updated": "2018-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60897132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.