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CHELANE R FACKENTHALL ARNP
NPI 1699000901
Nurse Practitioner in Walla Walla, WA

Active since October 05, 2009PECOS EnrolledAccepts Medicare Assignment
301 W POPLAR ST, SUITE 100, WALLA WALLA, WA 99362(509) 522-5824(509) 522-5738 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chelane R Fackenthall Arnp NPPES

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

CHELANE R FACKENTHALL ARNP (NPI 1699000901) is an individual nurse practitioner in Walla Walla, Washington, licensed in Washington (AP60111177) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Wallowa Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1699000901
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHELANE R FACKENTHALLCredential: ARNP
Location Address301 W POPLAR ST, SUITE 100Walla Walla, WA 99362-2858
Mailing AddressPo Box 34439Seattle, WA 98124-1439
Phone(509) 522-5824
Fax(509) 522-5738
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 5, 2009
Last NPPES UpdateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1699000901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · AP60111177
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN00151745 (WA)
301 W POPLAR ST, Walla Walla, WA 99362
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Other Identifiers 2

Medicaid500616387OR
Medicaid1699000901WA

Accepted Insurance

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

Chelane R Fackenthall Arnp 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 ID3274727888
PECOS Enrollment IDI20101027001317
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
327 services209 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
90 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services31 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
34 services12 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
24 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Wallowa Memorial Hospital

Critical Access Hospitals · Enterprise, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381306
Location601 Medical ParkwayEnterprise, OR 97828 · Wallowa County
Emergency services Birthing friendly

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381321
Location900 Sunset DriveLa Grande, OR 97850 · Union County
Emergency services Birthing friendly

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Dayton General Hospital

Critical Access Hospitals · Dayton, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501302
Location1012 South 3rd StreetDayton, WA 99328 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers41 claims6,195 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers25 claims3,150 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims3,360 services$0.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers30 claims30 services$18.33 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers55 claims61 services$12.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KENNETH H Z ISAACS MD
Psychiatry & Neurology (Neurology)
301 W POPLAR ST, SUITE 230
WALLA WALLA, WA 99362
Walla Walla County (509) 525-1084
DOUGLAS EDISON WEST PAC
Physician Assistant
301 W POPLAR ST, STE 220
WALLA WALLA, WA 99362
Walla Walla County (509) 522-1030
DR. GUY FRANK GEHLING MD
Neurological Surgery
301 W POPLAR ST, STE 220
WALLA WALLA, WA 99362
Walla Walla County (509) 522-1030
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Durable Medical Equipment & Medical Supplies
301 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 526-3333
DR. JASON ADAM DREYER DO
Neurological Surgery
301 W POPLAR ST
WALLA WALLA, WA 99362
Walla Walla County (509) 522-1030
DR. FREDERICK IAN FIELD M.D., FACS
Surgery
301 W POPLAR ST, SUITE 50
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5765
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Internal Medicine (Nephrology)
301 W POPLAR ST, SUITE 100
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5824
MRS. AIDAH ESAREY M.S., FAAA
Audiologist
301 W POPLAR ST, STE 210
WALLA WALLA, WA 99362
Walla Walla County (509) 522-5825

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 Chelane Fackenthall's NPI number?

The NPI number for Chelane Fackenthall is 1699000901. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Chelane Fackenthall located?

Chelane Fackenthall practices at 301 W Poplar St Suite 100, Walla Walla, WA 99362. The listed phone number is (509) 522-5824.

What is Chelane Fackenthall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Chelane Fackenthall enrolled in Medicare?

Yes. Chelane Fackenthall 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 Chelane Fackenthall accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Chelane Fackenthall 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 Chelane Fackenthall affiliated with any hospitals?

According to CMS data, Chelane Fackenthall is affiliated with Wallowa Memorial Hospital, Grande Ronde Hospital, Providence St Mary Medical Center and Dayton General Hospital.

When was this NPI record last updated?

The NPPES record for Chelane Fackenthall was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.