Individual provider Active NPI

Mustapha Jobarteh, RN, MSN, ARNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Marysville, WA
National Provider Identifier
1033865191
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61427422 Issued in WA
Practice address
3955 156TH St NE
Marysville, WA 98271-4831
Phone
(360) 651-6400
NPI assigned
Feb 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60133971 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61427422 WA Primary

Addresses

Primary practice location

3955 156TH St NE
Marysville, WA 98271-4831

Mailing address

4526 Federal Ave
Everett, WA 98203-2132
Phone (425) 349-6200

Other practice location 1

4526 Federal Ave
Everett, WA 98203-2132
Phone (206) 386-6000

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
I20230802002115 WA Practitioner - Nurse Practitioner 8224499561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vest Seattle LLC 17 clinicians
Compass Health 44 clinicians

Practice addresses (Care Compare)

3955 156TH St NE
Marysville, WA 98271-4831
Phone (844) 202-5555

4526 Federal Ave
Everett, WA 98203-2132
Phone (425) 349-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP61427422WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Compass Health CurrentSince May 13, 2024 Accepting new patients
Vest Seattle, LLC Psychiatric/Mental Health CurrentSince Sep 14, 2023 Accepting new patients
Sunrise Services, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Vest Seattle, LLC Past Accepting new patients

Locations

4526 Federal Ave
Everett, WA 98203
Phone (425) 349-8397

3955 156th St NE
Marysville, WA 98271
Phone (360) 651-6400

2500 E College Way
Mount Vernon, WA 98273
Phone (360) 336-3762

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1033865191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 FEDERAL AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032132",
            "telephone_number": "425-349-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 156TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982714831",
            "telephone_number": "360-651-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Federal Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032132",
            "country_code": "US",
            "telephone_number": "206-386-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOBARTEH",
        "first_name": "MUSTAPHA",
        "credential": "RN, MSN, ARNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-28",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60133971",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61427422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

Verify at the official NPI Registry.