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KELLY L CRENSHAW PSYD
NPI 1649694662
Clinical Neuropsychologist in Bellingham, WA

Active since February 11, 2014PECOS EnrolledAccepts Medicare Assignment
12 BELLWETHER WAY STE 240, BELLINGHAM, WA 98225(360) 588-2500(360) 785-2016 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Jun 4, 2025, Jul 26, 2024 and 2 more (5 updates tracked since 2020).

About Kelly L Crenshaw Psyd NPPES

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

KELLY L CRENSHAW PSYD (NPI 1649694662) is an individual clinical neuropsychologist in Bellingham, Washington, licensed in Washington (PY60885078) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mount Vernon, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1649694662
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameKELLY L CRENSHAWCredential: PSYD
Location Address12 BELLWETHER WAY STE 240Bellingham, WA 98225-2959
Mailing Address12 Bellwether Way Ste 240Bellingham, WA 98225-2959 · (360) 588-2500 · Fax (360) 785-2016
Phone(360) 588-2500
Fax(360) 785-2016
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 11, 2014
Last NPPES UpdateMay 14, 20265 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1649694662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in WA · PY60885078
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
12 BELLWETHER WAY STE 240, Bellingham, WA 98225
Open in Google Maps ↗

Secondary Practice Location 1

Location 11603 S 3rd StMount Vernon, WA 98273-4909 · Phone (360) 588-2500 ext. 12 · Fax (360) 785-2016

Other Identifiers 1

OtherPY60885078WA · Department Of Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Kelly L Crenshaw Psyd 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 ID6709000615
PECOS Enrollment IDI20210104001987
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.

Other Providers at the Same Location NPPES 3

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

DR. ERIN ALAYNA BRUNTON DNP
Nurse Practitioner (Psychiatric/Mental Health)
12 BELLWETHER WAY STE 240
BELLINGHAM, WA 98225
Whatcom County (360) 588-2500
DR. ANNA THERESA MAGNANTE PSYD
Clinical Neuropsychologist
12 BELLWETHER WAY STE 240
BELLINGHAM, WA 98225
Whatcom County (360) 588-2500
CASCADE NEUROPSYCHOLOGY, PLLC
Clinical Neuropsychologist
12 BELLWETHER WAY STE 240
BELLINGHAM, WA 98225
Whatcom County (360) 588-2500

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 Kelly Crenshaw's NPI number?

The NPI number for Kelly Crenshaw is 1649694662. It was assigned to this individual provider in the NPPES registry on February 11, 2014.

Where is Kelly Crenshaw located?

Kelly Crenshaw practices at 12 Bellwether Way Ste 240, Bellingham, WA 98225. The listed phone number is (360) 588-2500.

What is Kelly Crenshaw's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Kelly Crenshaw enrolled in Medicare?

Yes. Kelly Crenshaw 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 Kelly Crenshaw accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kelly Crenshaw 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 Kelly Crenshaw was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.