Individual provider Active NPI

Stacey Velimesis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1306422233
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP212327 Issued in GA
Practice address
2027 196TH St SW Ste A205
Lynnwood, WA 98036-7073
Phone
(425) 300-1333
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP212327 GA Primary
Family Nurse Practitioner 363LF0000X APRN-NP212327 GA

Addresses

Primary practice location

2027 196TH St SW Ste A205
Lynnwood, WA 98036-7073

Mailing address

2027 196TH St SW Ste A205
Lynnwood, WA 98036-7073
Phone (425) 300-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 2, 2026 through Jun 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP212327GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ayr Mental Health LLC Psychiatric/Mental Health Current Accepting new patients
Mindbodysoul Mental Health & Family Practice LLC Family CurrentSince Aug 1, 2024 Accepting new patients
Ayr Mental Health PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

2027 196th St SW
Ste A205
Lynnwood, WA 98036
Phone (206) 558-4488

Organizations & group practices 3

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1306422233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 196TH ST SW STE A205",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367073",
            "telephone_number": "425-300-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 196TH ST SW STE A205",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367073",
            "telephone_number": "425-300-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIMESIS",
        "first_name": "STACEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP212327",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP212327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.