Individual provider Active NPI

Peggy M Gironde

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1043911738
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027267 Issued in PA
Practice address
11400 SE 6TH St Ste 200
Bellevue, WA 98004-6423
Phone
(610) 608-2442
NPI assigned
Mar 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 SP027267 PA Primary

Addresses

Primary practice location

11400 SE 6TH St Ste 200
Bellevue, WA 98004-6423

Mailing address

751 Vandenburg Rd Apt 3423
King of Prussia, PA 19406-1685
Phone (610) 608-2442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240513001439 PA Practitioner - Nurse Practitioner 2365803137 Reassigns benefits to 1 organization

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
Mindsleep HealthGroup PAC ID 6002205572, 7 clinicians

Practice addresses (Care Compare)

355 N 21St St
Suite 306
Camp Hill, PA 17011-3707
Phone (717) 516-5539

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027267PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindsleep Health CurrentSince May 4, 2024 Accepting new patients

Locations

355 N 21st St
Ste 306
Camp Hill, PA 17011
Phone (717) 516-5539

5246 Simpson Ferry Rd
Mechanicsburg, PA 17050
Phone (717) 516-5539

Organizations & group practices 1

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": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1043911738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 VANDENBURG RD APT 3423",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061685",
            "telephone_number": "610-608-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 SE 6TH ST STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046423",
            "telephone_number": "610-608-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRONDE",
        "first_name": "PEGGY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.