Individual provider Active NPI

Amandeep Debessay, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1699540211
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61507860 Issued in WA
Practice address
4730 University Way NE Ste 104
Seattle, WA 98105-4424
Phone
(253) 424-2496
NPI assigned
Nov 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61507860 WA Primary

Addresses

Primary practice location

4730 University Way NE Ste 104
Seattle, WA 98105-4424

Mailing address

4730 University Way NE Ste 104
Seattle, WA 98105-4424
Phone (253) 424-2496

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
I20240212004229 WA Practitioner - Nurse Practitioner 4688017189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Medical GroupGroup PAC ID 8921358706, 43 clinicians

Practice addresses (Care Compare)

19803 1St Ave S
Suite 200
Normandy Park, WA 98148-2410
Phone (480) 712-8319

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Medical Group Family CurrentSince Jan 8, 2024 Accepting new patients
At Family Practice Group PS CurrentSince May 25, 2024 Accepting new patients

Locations

16515 S 40th St
Ste 143
Phoenix, AZ 85048
Phone (602) 753-8012

24604 104th Ave SE
Ste 201
Kent, WA 98030
Phone (253) 220-8091

19803 1st Ave S
Ste 200
Normandy Park, WA 98148
Phone (206) 870-7549

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1699540211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 UNIVERSITY WAY NE STE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054424",
            "telephone_number": "253-424-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 UNIVERSITY WAY NE STE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054424",
            "telephone_number": "253-424-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBESSAY",
        "first_name": "AMANDEEP",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-24",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61507860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.