Active NPI
Samuel Aren Bernstein Mann, ARNP
- Family Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60911409
- Practice address
- 9709 3Rd Ave NE Ste 201
Seattle, WA 98115-2027 - Phone
- (206) 401-3191
- NPI assigned
- Jun 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60911409 | WA | Primary |
| Physician Assistant | 363A00000X | OR | ||
| Registered Nurse | 163W00000X | RN60766085 | WA |
Addresses
Primary practice location
9709 3Rd Ave NE Ste 201
Seattle, WA 98115-2027
Mailing address
7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414
Other practice location 1
2830 Crescent Ave
Eugene, OR 97408-7397
Phone (541) 686-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442
9709 3Rd Ave NE
Optum Northgate Plaza Urgent Care
Seattle, WA 98115-2077
Phone (206) 401-3191
Hospital & facility affiliations
- Peacehealth Peace Island Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60766085 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Registered Nurse | Current | Accepting new patients |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Mind and Matter Health PLLC | Family | Current | Accepting new patients |
| Oregon Healthcare Resources, LLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Sea-Mar Community Health Center | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Family | Current | Accepting new patients |
| The Polyclinic PLLC | Past | Accepting new patients |
Locations
2830 Crescent Ave
Eugene, OR 97408
Phone (541) 636-9019
2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903
9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777
1145 Broadway
Seattle, WA 98122
9709 3rd Ave NE
Ste 201
Seattle, WA 98115
Phone (206) 401-3191
8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
1112 S Cushman Ave
Tacoma, WA 98405
Phone (253) 593-2144
Interoperability endpoints
- smann21058@direct.tecmc.com
- smann131256@westdirect.optum.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Family
-
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
-
- Family Nurse Practitioner
- Spokane, WA
- NPI 1447044953
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
Registered Nurse
-
- Federally Qualified Health Center (FQHC)
- Olympia, WA
- NPI 1902340292
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
- NPI 1346620200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Friday Harbor, WA
- NPI 1487917233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1215420518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036421",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9709 3RD AVE NE STE 201",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152027",
"telephone_number": "206-401-3191"
}
],
"practiceLocations": [
{
"address_1": "2830 Crescent Ave",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974087397",
"country_code": "US",
"telephone_number": "541-686-9000",
"fax_number": "541-242-4585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "SAMUEL",
"middle_name": "AREN BERNSTEIN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-11",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60911409",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60766085",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.