Active NPI
Bernard Mwangi, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
National Provider Identifier
1124803192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61478064
- Practice address
- 104 W 5TH Ave
Spokane, WA 99204-4820 - Phone
- (509) 934-4070
- NPI assigned
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | N361481193 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2268072 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95026895 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61478064 | WA | Primary |
Addresses
Primary practice location
104 W 5TH Ave
Spokane, WA 99204-4820
Mailing address
6 Liberty SQ # 2463
Boston, MA 02109-5800
Phone (978) 342-3680
Other practice location 1
143 Westminster St Apt 2
Fitchburg, MA 01420-3755
Phone (978) 342-3680
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 W 5TH Ave
Spokane, WA 99204-4820
Phone (623) 670-0840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95026895 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN2268072 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61478064 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
| N361481193 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Behavioral Health LLC | Single Specialty | Current | Accepting new patients |
Locations
104 W 5th Ave
Spokane, WA 99204
Phone (509) 992-1888
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": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1124803192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LIBERTY SQ # 2463",
"city": "BOSTON",
"state": "MA",
"postal_code": "021095800",
"telephone_number": "978-342-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044820",
"telephone_number": "509-934-4070"
}
],
"practiceLocations": [
{
"address_1": "143 Westminster St Apt 2",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "MA",
"postal_code": "014203755",
"country_code": "US",
"telephone_number": "978-342-3680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MWANGI",
"first_name": "BERNARD",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-29",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "N361481193",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2268072",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95026895",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61478064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.