KELLIE CHRISTINE HERGENRADER
NPI 1447911540
Physician Assistant in Port Townsend, WA

Active since January 01, 2022PECOS EnrolledAccepts Medicare Assignment
915 SHERIDAN ST, PORT TOWNSEND, WA 98368(360) 385-4848 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2024, Jan 1, 2022 (2 updates tracked since 2022).

About Kellie Christine Hergenrader NPPES

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

KELLIE CHRISTINE HERGENRADER (NPI 1447911540) is an individual physician assistant in Port Townsend, Washington, licensed in Washington (PA61479777) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447911540
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLIE CHRISTINE HERGENRADER
Location Address915 SHERIDAN STPort Townsend, WA 98368-2931
Mailing Address834 Sheridan StPort Townsend, WA 98368-2443 · (360) 385-2200
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 1, 2022
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1447911540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA61479777
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
915 SHERIDAN ST, Port Townsend, WA 98368

Secondary Practice Locations 2

Location 11086 Canal DrGardnerville, NV 89410-6117 · Phone (775) 781-8300
Location 2834 Sheridan StPort Townsend, WA 98368-2443 · Phone (360) 385-2200

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

Kellie Christine Hergenrader 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 ID4385092097
PECOS Enrollment IDI20231219001186
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 2

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

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98368 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
$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.

Family Medicine
915 SHERIDAN ST, SUITE B103
PORT TOWNSEND, WA 98368
Nurse Practitioner (Women's Health)
915 SHERIDAN ST, SUITE B103
PORT TOWNSEND, WA 98368
Family Medicine
915 SHERIDAN ST, SUITE B103
PORT TOWNSEND, WA 98368
Family Medicine
915 SHERIDAN ST, SUITE B103
PORT TOWNSEND, WA 98368
Dental Hygienist
915 SHERIDAN ST
PORT TOWNSEND, WA 98368
Family Medicine
915 SHERIDAN ST, SUITE B103
PORT TOWNSEND, WA 98368
Physician Assistant
915 SHERIDAN ST
PORT TOWNSEND, WA 98368
Family Medicine
915 SHERIDAN ST
PORT TOWNSEND, WA 98368

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 Kellie Hergenrader's NPI number?

The NPI number for Kellie Hergenrader is 1447911540. It was assigned to this individual provider in the NPPES registry on January 1, 2022.

Where is Kellie Hergenrader located?

Kellie Hergenrader practices at 915 Sheridan St, Port Townsend, WA 98368. The listed phone number is (360) 385-4848.

What is Kellie Hergenrader's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kellie Hergenrader enrolled in Medicare?

Yes. Kellie Hergenrader 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 Kellie Hergenrader accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kellie Hergenrader 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 Kellie Hergenrader affiliated with any hospitals?

According to CMS data, Kellie Hergenrader is affiliated with Olympic Medical Center and Jefferson Healthcare.

When was this NPI record last updated?

The NPPES record for Kellie Hergenrader was last updated on April 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.