KENNETH HANS HERMANSEN RDN, CDCES
NPI 1558068791
Dietitian, Registered in Longview, WA

Q: What is Kenneth Hermansen's NPI number?

The NPI number for Kenneth Hermansen is 1558068791. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Q: What is Kenneth Hermansen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Hermansen was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 08, 2023Accepts Medicare Assignment

1044 11TH AVE, LONGVIEW, WA 98632(360) 575-8275(360) 353-9440 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2025, Apr 4, 2023, Feb 8, 2023 (3 updates tracked since 2023).

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About Kenneth Hans Hermansen Rdn, Cdces NPPES

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

KENNETH HANS HERMANSEN RDN, CDCES (NPI 1558068791) is an individual dietitian, registered in Longview, Washington, licensed in Washington (DI61408612) and active in the NPI registry since February 2023. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1558068791

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameKENNETH HANS HERMANSENCredential: RDN, CDCES

Location Address1044 11TH AVELongview, WA 98632-2506

Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 353-9494 · Fax (360) 353-9440

Phone(360) 575-8275

Fax(360) 353-9440

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 8, 2023

Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1558068791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in WA · DI61408612✔ Licensed in KY · 275943✔ Licensed in UT · 11870717-4901

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1044 11TH AVE, Longview, WA 98632

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Kenneth Hans Hermansen Rdn, Cdces 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 ID5092180984

PECOS Enrollment IDI20230406000789

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

44 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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

$0.00 typical visit price

range $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

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.

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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.

LORI DAVIS RYAN ARNP

Nurse Practitioner (Family)