Active NPI
Cynthia Mancinelli Helgeson, ARNP
- Family Medicine Physician
- Indianola, WA
National Provider Identifier
1902472269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 61185557-NP
- Practice address
- 20960 Jack Davis PL NE
Indianola, WA 98342-0223 - Phone
- (206) 914-3430
- Fax
- (949) 862-8943
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 61185557-NP | WA | Primary |
Addresses
Primary practice location
20960 Jack Davis PL NE
Indianola, WA 98342-0223
Mailing address
PO Box 223
Indianola, WA 98342-0223
Phone (206) 914-3430
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
- Opted out of Medicare
- Yes, effective Nov 14, 2023 through Nov 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61185557-NP | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1902472269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223",
"city": "INDIANOLA",
"state": "WA",
"postal_code": "983420223",
"telephone_number": "206-914-3430",
"fax_number": "949-862-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20960 JACK DAVIS PL NE",
"city": "INDIANOLA",
"state": "WA",
"postal_code": "983420223",
"telephone_number": "206-914-3430",
"fax_number": "949-862-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELGESON",
"first_name": "CYNTHIA",
"middle_name": "MANCINELLI",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2023-11-13",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "61185557-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianola, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.