KIMBERLY A KELSEY (ARNP) – Family Nurse Practitioner, NPI 1326399189
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for KIMBERLY A KELSEY (ARNP)
1057 12TH AVE
LONGVIEW, WA 986322509
Phone: (360) 636-3892
Type: Mailing
1251 LEWIS RIVER RD
SUITE D
WOODLAND, WA 986749265
Phone: (360) 225-4310
Fax: (360) 225-4339
Type: Location
10151 SE Sunnyside Rd Ste 100
Clackamas, OR 970155705
Phone: (503) 659-0880
Fax: (503) 513-7425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-02-27 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($44).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $44 |
| Merck Sharp & Dohme LLC | $13 |
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: 2024-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240924003926 | I | Nurse Practitioner | OR | TBD |
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.
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 98632)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Emergency Medicine | DC | |
| Physician Assistant | MD | |
| Nurse Practitioner | HI | |
| Physician Assistant | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | OR | |
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| Emergency Medicine | PA | |
| Emergency Medicine | OR |
Reviews
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