KELLI KRISTINE COLE-VADJIC (PA-C) – Physician Assistant, NPI 1891755989

KELLI KRISTINE COLE-VADJIC (PA-C) is a healthcare provider. based in Vancouver, Washington. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA10005137 (WA). The NPI Number for KELLI KRISTINE COLE-VADJIC (PA-C) is 1891755989

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLI KRISTINE COLE-VADJIC (PA-C)
NPI
1891755989
Phone
(360) 788-8222
Address
1115 SE 164TH AVE
Enumeration Date
24 March 2006
Last Update Date
11 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607889373
Graduation Year
2005 (21 years ago)
PAC ID
2163429929
Group Practice PAC ID
9537073960
Professional Enrollment ID
I20070127000087
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

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Provider Addresses for KELLI KRISTINE COLE-VADJIC (PA-C)

  • PeaceHealth, 1115, Southeast 164th Avenue, Vancouver, Clark County, Washington, 98683, United States

    DEPT 358

    VANCOUVER, WA 986839324

    Phone: (360) 788-8222

    Fax: (360) 788-7759

    Type: Mailing

  • 3301, Squalicum Parkway, Parkview, Cornwall Park, Bellingham, Whatcom County, Washington, 98225, United States

    BELLINGHAM, WA 982251919

    Phone: (360) 788-8222

    Fax: (360) 788-7759

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Astellas Pharma US Inc ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$100
View all Open Payments →|Open Payments Risk Radar →

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: 2007-01-27

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
I20070127000087IPhysician AssistantWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes141118$0
99215Established patient office or other outpatient visit, 40-54 minutes3533$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 98683)

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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: 9537073960View full group profile
NameSpecialtyState
Family PracticeWA
P O D I A T R YWA
Gynecological OncologyWA
-FL
Geriatric Medicine, Family PracticeWA
Nurse PractitionerWA
Internal Medicine, Cardiovascular Disease (Cardiology), Nuclear MedicineMA
-TX
Physician AssistantOR
Nurse PractitionerNY

Reviews

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Frequently asked questions

Does KELLI KRISTINE COLE-VADJIC (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLI KRISTINE COLE-VADJIC (PA-C) uses 1891755989.
Does CMS list KELLI KRISTINE COLE-VADJIC (PA-C) as active?
Yes — KELLI KRISTINE COLE-VADJIC (PA-C) is active in the NPI listing used on this page.
What is KELLI KRISTINE COLE-VADJIC (PA-C)'s specialty?
The listing groups KELLI KRISTINE COLE-VADJIC (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for KELLI KRISTINE COLE-VADJIC (PA-C)?
KELLI KRISTINE COLE-VADJIC (PA-C)'s geographic hint is Vancouver, Washington in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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