Evergreen Psychiatry and Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EVERGREEN PSYCHIATRY AND WELLNESS PLLC

Practice address

10123 21St St SE
Lake Stevens, WA 98258-3223

Phone

(206) 422-7742

Fax

(206) 422-7742

NPI assigned

Apr 24, 2026

Organization subpart

No

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

Authorized official

Name

Agnes Wanjiku Mbatia, NPNPI 1477417889

Title

Provider

Phone

(206) 422-7742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agnes Mbatia, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountlake Terrace, WA
  • NPI 1477417889
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1902742984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10123 21ST ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583223",
            "telephone_number": "206-422-7742",
            "fax_number": "206-422-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 21ST ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583223",
            "telephone_number": "206-422-7742",
            "fax_number": "206-422-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PSYCHIATRY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "MBATIA",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "WANJIKU",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-422-7742",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elofson
• Thomas Stillman Elsemore, CRNA
• Empowered Physical Therapy PLLC
• Jenelle Diane Erickson
• Sara Jeanette Ernst
• Eyes on Lake Stevens
• Paula Fam
• Robert K Fankhauser, PT
• Nancy Farmer, LMP
• Stacy A Fennell, LMFT

• Psychiatric/Mental Health Nurse Practitioner in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.