MRS. KELLY JULENE ANDERSON MSN, ARNP-C
NPI 1073844403
Nurse Practitioner - Family in Spokane, WA

Active since January 25, 2010PECOS EnrolledAccepts Medicare Assignment
105 W 8TH AVE, SPOKANE, WA 99204(509) 474-6960 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kelly Julene Anderson Msn, Arnp-c NPPES

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

MRS. KELLY JULENE ANDERSON MSN, ARNP-C (NPI 1073844403) is an individual family provider in Spokane, Washington, licensed in Washington (AP60122547) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Providence St Joseph Hospital, and maintains a secondary practice location in Chewelah.

NPPES Registry Identity

NPI1073844403
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY JULENE ANDERSONCredential: MSN, ARNP-C
Location Address105 W 8TH AVESpokane, WA 99204-2307
Mailing Address105 W 8th AveSpokane, WA 99204-2307 · (509) 474-6960
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2000
Enumeration DateJanuary 25, 2010
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1073844403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP60122547
105 W 8TH AVE, Spokane, WA 99204

Secondary Practice Location 1

Location 1100 W South AveChewelah, WA 99109-9684 · Phone (509) 935-8111 · Fax (509) 935-0970

Accepted 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

Mrs. Kelly Julene Anderson Msn, Arnp-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 ID9830348861
PECOS Enrollment IDI20121005000424
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 3

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.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
50 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services31 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Joseph Hospital

Critical Access Hospitals · Chewelah, WA
OwnershipVoluntary non-profit - Church
CMS Certification Number501309
Location500 East WebsterChewelah, WA 99109 · Stevens County
Emergency services

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 17

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 suppliers23 claims41 services$5.16 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers18 claims18 services$39.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers12 claims12 services$86.02 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims29 services$33.06 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers13 claims68 services$17.62 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers17 claims17 services$58.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
105 W 8TH AVE, SUITE 450E
SPOKANE, WA 99204
Neurological Surgery
105 W 8TH AVE, STE 200
SPOKANE, WA 99204
Surgery
105 W 8TH AVE, STE 7060
SPOKANE, WA 99204
Internal Medicine (Gastroenterology)
105 W 8TH AVE, SUITE 6010
SPOKANE, WA 99204
Surgery
105 W 8TH AVE, STE 7010
SPOKANE, WA 99204
Internal Medicine (Gastroenterology)
105 W 8TH AVE, SUITE 6010
SPOKANE, WA 99204
Psychiatry & Neurology (Psychiatry)
105 W 8TH AVE, SUITE 450E
SPOKANE, WA 99204
Internal Medicine (Gastroenterology)
105 W 8TH AVE
SPOKANE, WA 99204

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 Kelly Anderson's NPI number?

The NPI number for Kelly Anderson is 1073844403. It was assigned to this individual provider in the NPPES registry on January 25, 2010.

Where is Kelly Anderson located?

Kelly Anderson practices at 105 W 8th Ave, Spokane, WA 99204. The listed phone number is (509) 474-6960.

What is Kelly Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Anderson enrolled in Medicare?

Yes. Kelly Anderson 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 Kelly Anderson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kelly Anderson 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 Kelly Anderson affiliated with any hospitals?

According to CMS data, Kelly Anderson is affiliated with Providence St Joseph Hospital and Providence Mount Carmel Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Anderson was last updated on April 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.