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KELLEN GUMM PA-C
NPI 1598112211
Physician Assistant - Surgical in Spokane, WA

Active since May 23, 2016PECOS EnrolledAccepts Medicare Assignment
122 W 7TH AVE STE 110, SPOKANE, WA 99204(509) 456-0262(509) 462-5059 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Apr 22, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Kellen Gumm Pa-c NPPES

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

KELLEN GUMM PA-C (NPI 1598112211) is an individual surgical provider in Spokane, Washington, licensed in Washington (PA60798666) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1598112211
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKELLEN GUMMCredential: PA-C
Location Address122 W 7TH AVE STE 110Spokane, WA 99204-2301
Mailing Address605 E Holland Ave, Ste 112Spokane, WA 99218-1246 · (509) 456-0262 · Fax (509) 462-5059
Phone(509) 456-0262
Fax(509) 462-5059
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 23, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1598112211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA60798666
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
122 W 7TH AVE STE 110, Spokane, WA 99204
Open in Google Maps ↗

Secondary Practice Location 1

Location 14311 11th Ave NE, Suite 200Seattle, WA 98105-6366 · Phone (206) 616-4001 · Fax (206) 616-3889

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Kellen Gumm Pa-c 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 ID2567737711
PECOS Enrollment IDI20171013002067
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.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
77 services75 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
73 services72 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
32 services32 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services24 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500044
LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County
Emergency services Birthing friendly

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500119
Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

MICHELLE RHEE PA-C
Physician Assistant (Surgical)
122 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 462-6485
KAI A IHNKEN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
122 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 462-6485

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 Kellen Gumm's NPI number?

The NPI number for Kellen Gumm is 1598112211. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Kellen Gumm located?

Kellen Gumm practices at 122 W 7th Ave Ste 110, Spokane, WA 99204. The listed phone number is (509) 456-0262.

What is Kellen Gumm's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kellen Gumm enrolled in Medicare?

Yes. Kellen Gumm 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 Kellen Gumm accept?

Health plans from Providence Health Plan list Kellen Gumm 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 Kellen Gumm affiliated with any hospitals?

According to CMS data, Kellen Gumm is affiliated with Deaconess Medical Center and Multicare Valley Hospital.

When was this NPI record last updated?

The NPPES record for Kellen Gumm was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.