Individual provider Active NPI

Nikki L Behner, A.R.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Vernon, WA
National Provider Identifier
1548472244
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30001966 Issued in WA
Practice address
117 N 1St St Ste 55
Mount Vernon, WA 98273-2858
Phone
(360) 588-4950
Fax
(360) 873-8041
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 AP30001966 WA Primary

Addresses

Primary practice location

117 N 1St St Ste 55
Mount Vernon, WA 98273-2858

Mailing address

117 N 1St St Ste 55
Mount Vernon, WA 98273-2858
Phone (360) 588-4950

Other practice location 1

3025 Oakes Ave
Everett, WA 98201-3657
Phone (425) 388-3821

Other identifiers 3

IdentifierTypeStateIssuer
2146061MedicaidWA
0124374OtherANCC CREDENTIAL
AP30001966OtherWAPROFESSIONAL ADVANCED PRACTICE NURSING LICENSE

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
I20101115000534 WA Practitioner - Nurse Practitioner 7911192067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

117 N 1St St
Suite 55
Mount Vernon, WA 98273-2858
Phone (360) 588-4950

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Counseling Services CurrentSince Jan 17, 2021 Accepting new patients
Psychiatric Nurse Consulting & Therapy, LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

117 N 1st St
Ste 55
Mount Vernon, WA 98273
Phone (360) 588-4950

Organizations & group practices 2

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548472244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N 1ST ST STE 55",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732858",
            "telephone_number": "360-588-4950",
            "fax_number": "360-873-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N 1ST ST STE 55",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732858",
            "telephone_number": "360-588-4950",
            "fax_number": "360-873-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Oakes Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013657",
            "country_code": "US",
            "telephone_number": "425-388-3821",
            "fax_number": "425-388-3526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHNER",
        "first_name": "NIKKI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30001966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146061",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CREDENTIAL",
            "identifier": "0124374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL ADVANCED PRACTICE NURSING LICENSE",
            "identifier": "AP30001966",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.