MR. GIBRIL KELLEH KARGBO (NP) – Family Nurse Practitioner, NPI 1609386440

MR. GIBRIL KELLEH KARGBO (NP) is a healthcare provider. based in Bonney lake, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP60951772 (WA). The NPI Number for MR. GIBRIL KELLEH KARGBO (NP) is 1609386440

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. GIBRIL KELLEH KARGBO (NP)
NPI
1609386440
Phone
(720) 644-9355
Address
15379 200TH AVE E
Enumeration Date
6 October 2017
Last Update Date
28 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2064074171
Graduation Year
2017 (9 years ago)
PAC ID
7416214564
Group Practice PAC ID
4880083062
Professional Enrollment ID
I20200324001967
Address ID
WA981683045TU12844SXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for MR. GIBRIL KELLEH KARGBO (NP)

  • 15379 200TH AVE E

    BONNEY LAKE, WA 983918043

    Phone: (720) 644-9355

    Type: Mailing

  • PO BOX 73488

    PUYALLUP, WA 983730488

    Phone: (855) 722-9700

    Type: Mailing

  • 5023 W 120th Ave Ste 312

    Broomfield, CO 800205606

    Phone: (720) 644-9355

    Type: Location

  • The Center at Lincoln, 12230, Lioness Way, Meridian Commons, Parker, Douglas County, Colorado, 80134, United States

    PARKER, CO 801345603

    Phone: (720) 644-9355

    Type: Mailing

  • 2219 RIMLAND DR STE 301

    BELLINGHAM, WA 982268759

    Phone: (855) 722-9700

    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: 2020-03-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200324001967INurse PractitionerWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,224243$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes363123$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes162112$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes107105$0
99316Nursing facility discharge management, more than 30 minutes6765$0
View full utilization report →

Insurance plans in this area (ZIP 98391)

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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: 4880083062View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerWA
Family PracticeWA
Geriatric MedicineWA
Internal MedicineWA
Family PracticeWA
Geriatric MedicineWA

Reviews

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Frequently asked questions

Is there an official ID for MR. GIBRIL KELLEH KARGBO (NP) in U.S. healthcare records?
The official identifier for MR. GIBRIL KELLEH KARGBO (NP) is NPI 1609386440.
Is MR. GIBRIL KELLEH KARGBO (NP) shown as active in public data?
Registry records indicate MR. GIBRIL KELLEH KARGBO (NP) maintains an active NPI.
What kind of doctor is MR. GIBRIL KELLEH KARGBO (NP)?
MR. GIBRIL KELLEH KARGBO (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. GIBRIL KELLEH KARGBO (NP)?
Directory geography for MR. GIBRIL KELLEH KARGBO (NP) centers on Bonney Lake, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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