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TANJA LU TODD-KELLUM MD
NPI 1295814861
Obstetrics & Gynecology in Aberdeen, WA

Active since November 03, 2006PECOS Enrolled
915 ANDERSON DR, ABERDEEN, WA 98520(360) 537-8330 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tanja Lu Todd-kellum Md NPPES

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

TANJA LU TODD-KELLUM MD (NPI 1295814861) is an individual obstetrics & gynecology provider in Aberdeen, Washington, licensed in Tennessee (12168) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Germantown.

NPPES Registry Identity

NPI1295814861
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTANJA LU TODD-KELLUMCredential: MD
Location Address915 ANDERSON DRAberdeen, WA 98520-1006
Mailing Address7516 Capital DrGermantown, TN 38138 · (901) 753-4200 · Fax (901) 753-4463
Phone(360) 537-8330
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1295814861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in TN · 12168✔ Licensed in WA · MD61015265
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
915 ANDERSON DR, Aberdeen, WA 98520
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Secondary Practice Location 1

Location 17516 Capital DrGermantown, TN 38138 · Phone (901) 753-4200 · Fax (901) 753-4463

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanja Lu Todd-kellum Md 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 Tanja Todd-kellum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grays Harbor Community Hospital
Same address
General Acute Care Hospital
915 ANDERSON DR
Aberdeen, WA 98520
  • Reassigned Medicare billing, Washington enrollment
  • 190 clinicians in this Medicare group
NPI 1144676487 (360) 537-6116
Wellmont Medical Associates, Inc.
2,205 mi
Internal Medicine
601 COMMONWEALTH DR
Norton, VA 24273
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1003274994 (276) 679-6028

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 98520 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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.

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.

MR. DAVID C JESTER D.O.
Emergency Medicine
915 ANDERSON DR
ABERDEEN, WA 98520
Grays Harbor County (360) 537-6113
BRITNEY NICOLE RATLIFF PA
Physician Assistant
915 ANDERSON DR
ABERDEEN, WA 98520
Grays Harbor County (360) 532-8330
PATRICIA LYNNE WARNICK MS CCC-SLP
Speech-Language Pathologist
915 ANDERSON DR
ABERDEEN, WA 98520
Grays Harbor County (360) 532-8330
CHELSEA WIRT
Speech-Language Pathologist
915 ANDERSON DR
ABERDEEN, WA 98520
Grays Harbor County (360) 532-8330
MS. KATHLEEN A JAMSGARD MD
Anesthesiology
915 ANDERSON DR
ABERDEEN, WA 98520
Grays Harbor County (360) 537-6113
GRAYS HARBOR COMMUNITY HOSPITAL
General Acute Care Hospital
915 ANDERSON DR
ABERDEEN, WA 98520
Grays Harbor County (360) 537-6116
REHABVISIONS
General Acute Care Hospital
915 ANDERSON DR
ABERDEEN, WA 98520
Grays Harbor County (360) 532-8330
GRAYS HARBOR COMMUNITY HOSPITAL
General Acute Care Hospital
915 ANDERSON DR
ABERDEEN, WA 98520
Grays Harbor County (360) 537-6116

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 Tanja Todd-kellum's NPI number?

The NPI number for Tanja Todd-kellum is 1295814861. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Tanja Todd-kellum located?

Tanja Todd-kellum practices at 915 Anderson Dr, Aberdeen, WA 98520. The listed phone number is (360) 537-8330.

What is Tanja Todd-kellum's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tanja Todd-kellum enrolled in Medicare?

Yes. Tanja Todd-kellum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tanja Todd-kellum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanja Todd-kellum reassigns Medicare benefits to 2 organizations: Grays Harbor Community Hospital (Aberdeen, WA) and Wellmont Medical Associates, Inc. (Norton, VA). 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 Tanja Todd-kellum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanja Todd-kellum accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tanja Todd-kellum 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 Tanja Todd-kellum was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.