KEELY VRSALOVICH RN
NPI 1275925372
Nurse Practitioner - Family in Vancouver, WA

Active since February 26, 2015PECOS Enrolled
6100 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661(360) 947-2550 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2020, Oct 18, 2016 (2 updates tracked since 2016).

About Keely Vrsalovich Rn NPPES

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

KEELY VRSALOVICH RN (NPI 1275925372) is an individual family provider in Vancouver, Washington, licensed in Washington (AP60696290) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275925372
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEELY VRSALOVICHCredential: RN
Location Address6100 NE FOURTH PLAIN BLVDVancouver, WA 98661-6830
Mailing Address14508 Ne 20th AveVancouver, WA 98686-6424 · (360) 852-9070
Sole ProprietorNo
Enumeration DateFebruary 26, 2015
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1275925372 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 · AP60696290
6100 NE FOURTH PLAIN BLVD, Vancouver, WA 98661

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keely Vrsalovich Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Keely Vrsalovich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
6100 NE FOURTH PLAIN BLVD
Vancouver, WA 98661
  • Reassigned Medicare billing, Washington enrollment
  • 525 clinicians in this Medicare group
Nurse Practitioner
8115 MAPLE LAWN BLVD STE 350
Fulton, MD 20759
  • Reassigned Medicare billing, Washington enrollment
  • 9 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 98661 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.

Other Providers at the Same Location NPPES 19

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

Pediatrics
6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Advanced Practice Midwife
6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Advanced Practice Midwife
6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Marriage & Family Therapist
6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Advanced Practice Midwife
6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Advanced Practice Midwife
6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Family Medicine
6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Advanced Practice Midwife
6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661

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 Keely Vrsalovich's NPI number?

The NPI number for Keely Vrsalovich is 1275925372. It was assigned to this individual provider in the NPPES registry on February 26, 2015.

Where is Keely Vrsalovich located?

Keely Vrsalovich practices at 6100 NE Fourth Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 947-2550.

What is Keely Vrsalovich's specialty?

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

Is Keely Vrsalovich enrolled in Medicare?

Yes. Keely Vrsalovich is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keely Vrsalovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keely Vrsalovich reassigns Medicare benefits to 2 organizations: Sea Mar Community Health Centers (Vancouver, WA) and Easy Health Medical Solutions PC (Fulton, MD). 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 Keely Vrsalovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keely Vrsalovich was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.