Individual provider Active NPI

Rebekah Vigileos, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mercer Island, WA
National Provider Identifier
1295445559
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61377070 Issued in WA
Practice address
9725 SE 36TH St Ste 205
Mercer Island, WA 98040-3840
Phone
(480) 434-9153
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 AP61377070 WA Primary

Addresses

Primary practice location

9725 SE 36TH St Ste 205
Mercer Island, WA 98040-3840

Mailing address

9007 W Shorewood Dr Apt 539
Mercer Island, WA 98040-6218
Phone (480) 434-9153

Other practice location 1

9725 SE 36th St Ste 400
Mercer Island, WA 98040-3848
Phone (425) 553-2747

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL revolutionpsych@icloud.com

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
I20230821003093 WA Practitioner - Nurse Practitioner 5698137701 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Outpatient and Wellness PLLC CurrentSince Mar 1, 2023 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Aug 4, 2023 Accepting new patients
Vest Thurston LLC CurrentSince Sep 26, 2023 Accepting new patients
Crescent Outpatient and Wellness PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients

Locations

605 Woodland Square Loop SE
Lacey, WA 98503
Phone (312) 380-9455

2737 78th Ave SE
Ste 100
Mercer Island, WA 98040
Phone (206) 695-2707

9725 SE 36th St
Ste 205
Mercer Island, WA 98040
Phone (206) 232-2046

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1295445559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 W SHOREWOOD DR APT 539",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980406218",
            "telephone_number": "480-434-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 SE 36TH ST STE 205",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403840",
            "telephone_number": "480-434-9153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9725 SE 36th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980403848",
            "country_code": "US",
            "telephone_number": "425-553-2747",
            "fax_number": "206-317-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGILEOS",
        "first_name": "REBEKAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61377070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "revolutionpsych@icloud.com",
            "affiliation": "N",
            "address_1": "2737 78th Ave SE Ste 100",
            "city": "Mercer Island",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980402843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.