KRISTEN LYNN KELLY MD
NPI 1417057407
Family Medicine in Seattle, WA

Q: What is Kristen Kelly's NPI number?

The NPI number for Kristen Kelly is 1417057407. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Kristen Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Kelly was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment

9245 RAINIER AVE S, SEATTLE, WA 98118(206) 722-8444 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristen Lynn Kelly Md NPPES

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

KRISTEN LYNN KELLY MD (NPI 1417057407) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD60107121) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1417057407

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKRISTEN LYNN KELLYCredential: MD

Location Address9245 RAINIER AVE SSeattle, WA 98118-5569

Mailing Address1200 12th Ave S Ste 901Seattle, WA 98144-2712 · (206) 548-3114

Phone(206) 722-8444

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2006

Enumeration DateSeptember 22, 2006

Last NPPES UpdateJuly 1, 2025

NPPES CertifiedJuly 1, 2025

✔ NPI 1417057407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD60107121

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9245 RAINIER AVE S, Seattle, WA 98118

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Secondary Practice Location 1

Location 1415 N 85th StSeattle, WA 98103-3701 · Phone (206) 782-8660 · Fax (206) 782-8765

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

Kristen Lynn Kelly Md 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 ID1254473085

PECOS Enrollment IDI20100116000305

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.

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500027

Location747 BroadwaySeattle, WA 98122 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98118 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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 20

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

DR. JENNIFER CHRISTINE DANIELS ND, ARNP

Nurse Practitioner (Family)