KATHERINE A VANKESSEL (MD) – Obstetrics & Gynecology Physician, NPI 1376542514

KATHERINE A VANKESSEL (MD) is a healthcare provider. based in Bellevue, Washington. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD00036587 (WA). The NPI Number for KATHERINE A VANKESSEL (MD) is 1376542514

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE A VANKESSEL (MD)
NPI
1376542514
Phone
(425) 943-3219
Address
1231 116TH AVE NE
Enumeration Date
19 July 2005
Last Update Date
8 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
4256885460
Graduation Year
1996 (30 years ago)
PAC ID
6305823402
Group Practice PAC ID
7012808827
Professional Enrollment ID
I20040707000317
Address ID
WA980043772BE1750XNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,037 OBSTETRICS/GYNECOLOGY in WA

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Provider Addresses for KATHERINE A VANKESSEL (MD)

  • Ridgway Face & Aesthetic Center, 1231, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98004, United States

    STE 950

    BELLEVUE, WA 980043832

    Phone: (425) 943-3219

    Fax: (425) 646-5198

    Mailing address matches the actual address.

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: 2004-07-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040707000317IObstetrics/GynecologyWATBD

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 98004)

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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: 7012808827View full group profile
NameSpecialtyState
N E U R O L O G YCA
Qualified Speech Language PathologistWA
Physical Therapist In Private PracticeWA
Family PracticeWA
-WA
Physical Therapist In Private PracticeWA
Family PracticeWA
-WA
Nurse PractitionerTX
-WA

Reviews

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Frequently asked questions

How do I look up KATHERINE A VANKESSEL (MD) by NPI?
Use NPI 1376542514 when you need to reference KATHERINE A VANKESSEL (MD) in forms, claims, or directories.
Is KATHERINE A VANKESSEL (MD) currently active in the NPI registry?
CMS-published data lists KATHERINE A VANKESSEL (MD) as an active registrant.
What does KATHERINE A VANKESSEL (MD) treat or focus on?
Patients typically see KATHERINE A VANKESSEL (MD) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for KATHERINE A VANKESSEL (MD)?
We surface Bellevue, Washington for KATHERINE A VANKESSEL (MD) based on available NPPES addresses.
Is KATHERINE A VANKESSEL (MD) a real provider?
This page reflects official NPPES data for NPI 1376542514. Always confirm identity and privileges with the practice and licensing boards.

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