DR. KRISTIE KAY SELLERS (PHD) – Psychologist, NPI 1245203918

DR. KRISTIE KAY SELLERS (PHD) is a healthcare provider. based in Soldotna, Alaska. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 554 (AK). The NPI Number for DR. KRISTIE KAY SELLERS (PHD) is 1245203918

Main info

Female
24 Years Of Experience
Name
DR. KRISTIE KAY SELLERS (PHD)
NPI
1245203918
Phone
(907) 714-4521
Address
362 Tyee St
Enumeration Date
10 February 2006
Last Update Date
20 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5418013730
Graduation Year
2002 (24 years ago)
PAC ID
1456349737
Group Practice PAC ID
8224529896
Professional Enrollment ID
I20050115000165
Address ID
AK996697960SO44539HWYX301
Telehealth
Yes

Contacts

Secure Messaging
ksellers626899@ak.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

75 CLINICAL PSYCHOLOGIST in AK

Provider Addresses for DR. KRISTIE KAY SELLERS (PHD)

  • 362 Tyee St

    Soldotna, AK 996697631

    Phone: (907) 714-4521

    Type: Location

  • 47480 Kristina Way

    Kenai, AK 996115902

    Phone: (907) 714-4521

    Type: Location

  • 354 Tyee St

    Soldotna, AK 996697657

    Phone: (907) 714-4521

    Type: Location

  • 245 N Binkley St

    Soldotna, AK 996697500

    Phone: (907) 714-4520

    Type: Location

  • PO BOX 2803

    SOLDOTNA, AK 996692803

    Phone: (907) 260-1944

    Fax: (907) 714-4649

    Type: Mailing

  • 202, North Binkley Street, Soldotna, Kenai Peninsula, Alaska, 99669, United States

    SOLDOTNA, AK 996697500

    Phone: (907) 714-4521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050115000165IClinical PsychologistAKTBD
I20251224001169IClinical PsychologistWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99669)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224529896View full group profile
NameSpecialtyState
Mental Health CounselorAK

Reviews

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Frequently asked questions

Where can patients find DR. KRISTIE KAY SELLERS (PHD)'s NPI?
You can confirm DR. KRISTIE KAY SELLERS (PHD) with NPI 1245203918; it appears in the national provider directory.
Is DR. KRISTIE KAY SELLERS (PHD)'s NPI currently valid?
The extract we use shows DR. KRISTIE KAY SELLERS (PHD) as active.
What field does DR. KRISTIE KAY SELLERS (PHD) work in?
You can think of DR. KRISTIE KAY SELLERS (PHD) as practicing within Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KRISTIE KAY SELLERS (PHD)?
The snapshot lists Soldotna, Alaska for DR. KRISTIE KAY SELLERS (PHD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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