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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CANDICE KETELSEN PA-C
NPI 1073040515
Physician Assistant in Ridgefield, WA

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment
536 S ROYLE RD, RIDGEFIELD, WA 98642(360) 487-1086(360) 487-1088 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2026, Jan 26, 2026, Jul 19, 2024 and 3 more (6 updates tracked since 2017).

About Candice Ketelsen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE KETELSEN PA-C (NPI 1073040515) is an individual physician assistant in Ridgefield, Washington, licensed in Washington (PA60758102) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Gritman Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073040515
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCANDICE KETELSENCredential: PA-C
Location Address536 S ROYLE RDRidgefield, WA 98642-7759
Mailing Address536 S Royle RdRidgefield, WA 98642-7759 · (360) 487-1086 · Fax (360) 487-1088
Phone(360) 487-1086
Fax(360) 487-1088
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 15, 2017
Last NPPES UpdateJuly 14, 20266 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1073040515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WA · PA60758102✔ Licensed in ID · PA-1496
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
536 S ROYLE RD, Ridgefield, WA 98642
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Other Names 1

Former Name (1)Candice Klemens Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candice Ketelsen Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759653363
PECOS Enrollment IDI20170816003731, I20170816003937
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers29 claims74 services$3.79 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
2 suppliers13 claims13 services$83.53 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$3.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers34 claims43 services$85.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$32.33 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims610 services$0.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Ketelsen's NPI number?

The NPI number for Candice Ketelsen is 1073040515. It was assigned to this individual provider in the NPPES registry on May 15, 2017. The provider is also known as Candice Klemens PA.

Where is Candice Ketelsen located?

Candice Ketelsen practices at 536 S Royle Rd, Ridgefield, WA 98642. The listed phone number is (360) 487-1086.

What is Candice Ketelsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Candice Ketelsen enrolled in Medicare?

Yes. Candice Ketelsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Candice Ketelsen accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Candice Ketelsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Candice Ketelsen affiliated with any hospitals?

According to CMS data, Candice Ketelsen is affiliated with Gritman Medical Center and Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Candice Ketelsen was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.