KELLIANNE MARIE JENNINGS ARNP
NPI 1184403941
Nurse Practitioner - Primary Care in Seattle, WA
About Kellianne Marie Jennings Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIANNE MARIE JENNINGS ARNP (NPI 1184403941) is an individual primary care provider in Seattle, Washington, licensed in Washington (ARNP.AP.61488981-NP) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellianne Marie Jennings Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kellianne Jennings reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bothell, WA 98021
- Reassigned Medicare billing, Washington enrollment
- 207 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Idaho and Texas enrollments
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SEATTLE, WA 98104
SEATTLE, WA 98104
SEATTLE, WA 98104
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 Kellianne Jennings's NPI number?
The NPI number for Kellianne Jennings is 1184403941. It was assigned to this individual provider in the NPPES registry on September 21, 2023.
Where is Kellianne Jennings located?
Kellianne Jennings practices at 450 Alaskan Way S Ste 200, Seattle, WA 98104. The listed phone number is (888) 731-8994.
What is Kellianne Jennings's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kellianne Jennings enrolled in Medicare?
Yes. Kellianne Jennings is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kellianne Jennings's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellianne Jennings reassigns Medicare benefits to 2 organizations: Molina Healthcare Of Washington, Inc (Bothell, WA) and Molina Care Connections, LLC. (Long Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellianne Jennings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellianne Jennings accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kellianne Jennings 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.
When was this NPI record last updated?
The NPPES record for Kellianne Jennings was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Kellianne Marie Jennings, ARNP · NPI 1184403941
Primary Care physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since September 21, 2023.
## Identity
- **NPI:** 1184403941 (Entity type: Individual)
- **Enumerated:** September 21, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** ARNP.AP.61488981-NP (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 ALASKAN WAY S STE 200, Seattle, WA 98104-2785
- **Phone:** (888) 731-8994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Molina Healthcare Of Washington, Inc (NPI 1659897163, Bothell, WA); Molina Care Connections, LLC. (NPI 1407243223, Long Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 27, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1184403941) · Data from the CMS NPPES public registry.