KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
NPI 1790910057
Specialist in Ellensburg, WA

Active since May 15, 2009
603 S CHESTNUT ST, ELLENSBURG, WA 98926(509) 962-7390 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Jun 11, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Kittitas County Public Hospital Dist 1 NPPES

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

KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 (NPI 1790910057), doing business as Kvh General Surgery, is a healthcare organization registered as a specialist in Ellensburg, Washington and active in the NPI registry since May 2009. The organization maintains a secondary practice location in Ellensburg and lists Lisa Gott, Revenue Cycle Director Operation, as its authorized official.

NPPES Registry Identity

NPI1790910057
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Location Address603 S CHESTNUT STEllensburg, WA 98926-3875
Mailing AddressPo Box 799Ellensburg, WA 98926-1921 · (509) 962-7390 · Fax (509) 925-6948
Organization SubpartNo
Authorized OfficialLisa GottRevenue Cycle Director Operation · (509) 962-7424
Enumeration DateMay 15, 2009
Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1790910057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · 000036
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
603 S CHESTNUT ST, Ellensburg, WA 98926

Other Names 1

Doing Business AsKvh General Surgery

Secondary Practice Location 1

Location 1603 S Chestnut StEllensburg, WA 98926-3875 · Phone (509) 933-8619 · Fax (509) 962-7351

Other Identifiers 1

OtherG000319179WA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kittitas County Public Hospital Dist 1 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

163

Medicare enrollment records show 163 clinicians reassign Medicare billing to Kittitas County Public Hospital Dist 1, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 39 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner38
Emergency Medicine37
Family Practice20
Obstetrics/Gynecology16
Internal Medicine9
Neurology8
General Surgery5
Vascular Surgery5
11 other specialties25

Nearest to this location (20)

See all 163
Nurse Practitioner
NPI 1871232454
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 933-8693
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1760058275
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 933-8693
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1235823634
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 933-8693
✔ PECOSSame address
Nurse Practitioner
NPI 1811509326
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 925-6100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1942250709
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 925-6100
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1639708258
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 933-8693
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1104874270
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 925-6100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831968783
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 925-6100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811748445
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 925-6100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1144916347
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 925-6100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114248259
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 925-7604
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1942229208
611 SOUTH CHESTNUT SUITE D
Ellensburg, WA 98926
(509) 933-8700
✔ PECOSSame address
Emergency Medicine
NPI 1790434090
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 933-8693
✔ PECOSSame address
Emergency Medicine
NPI 1013586916
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 933-8693
✔ PECOSSame address
Emergency Medicine
NPI 1700466059
603 S CHESTNUT ST
Ellensburg, WA 98926
(718) 250-8000
✔ PECOSSame address
Emergency Medicine
NPI 1407198518
603 S CHESTNUT ST
Ellensburg, WA 98926
(509) 933-8693
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1306830823
700 E MANITOBA AVE SUITE 101
Ellensburg, WA 98926
(509) 925-6100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497060339
700 E MANITOBA AVE
Ellensburg, WA 98926
(509) 925-6100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1558620013
700 E MANITOBA AVE SUITE 101
Ellensburg, WA 98926
(509) 925-6100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356808596
716 E MANITOBA AVE
Ellensburg, WA 98926
(509) 933-8777
✔ PECOS✔ Accepts Medicare0.1 mi
See all 163 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kittitas County Public Hospital Dist 1's NPI number?

The NPI number for Kittitas County Public Hospital Dist 1 is 1790910057. It was assigned to this organization in the NPPES registry on May 15, 2009. The provider is doing business as KVH General Surgery.

Where is Kittitas County Public Hospital Dist 1 located?

Kittitas County Public Hospital Dist 1 is located at 603 S Chestnut St, Ellensburg, WA 98926. The listed phone number is (509) 962-7390.

What is Kittitas County Public Hospital Dist 1's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kittitas County Public Hospital Dist 1 enrolled in Medicare?

Yes. Kittitas County Public Hospital Dist 1 is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kittitas County Public Hospital Dist 1?

According to the CMS Revalidation Reassignment List (October 2026 release), 163 clinicians in 19 Medicare specialties reassign their Medicare billing to Kittitas County Public Hospital Dist 1. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (38), Emergency Medicine (37) and Family Practice (20). Of these, 16 practice at this address and 39 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kittitas County Public Hospital Dist 1 accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kittitas County Public Hospital Dist 1 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 Kittitas County Public Hospital Dist 1 was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.