Individual provider Active NPI

Samuel Aren Bernstein Mann, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1215420518
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60911409 Issued in WA
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

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190529001312 WA Practitioner - Nurse Practitioner 7113260514 Reassigns benefits to 3 organizations
I20241104003723 OR Practitioner - Nurse Practitioner 7113260514 Reassigns benefits to 1 organization

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
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians

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 Hospital, Friday Harbor, WA, CCN 501340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60766085WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC CurrentSince Jan 12, 2023 Accepting new patients
The Polyclinic PLLC CurrentSince Jan 8, 2020 Accepting new patients
Sea Mar Community Health Centers Registered Nurse CurrentSince Apr 29, 2019 Accepting new patients
The Polyclinic PLLC CurrentSince Jan 8, 2020 Accepting new patients
Mind and Matter Health PLLC Family Current Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Nov 18, 2024 Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 12, 2023 Accepting new patients
Sea-Mar Community Health Center CurrentSince Apr 29, 2019 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

  • Direct secure messaging: smann21058@direct.tecmc.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.