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KAILEY JAYCKLINE ELLISON WHNP
NPI 1811788771
Nurse Practitioner - Women's Health in Olympia, WA

Active since May 13, 2025PECOS EnrolledAccepts Medicare Assignment
2612 YELM HWY SE, OLYMPIA, WA 98501(360) 507-8146(360) 839-2852 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2026, Sep 11, 2025, May 13, 2025 (3 updates tracked since 2025).

About Kailey Jayckline Ellison Whnp NPPES

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

KAILEY JAYCKLINE ELLISON WHNP (NPI 1811788771) is an individual women's health provider in Olympia, Washington, licensed in Washington (AP70043574) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1811788771
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKAILEY JAYCKLINE ELLISONCredential: WHNP
Location Address2612 YELM HWY SEOlympia, WA 98501-4826
Mailing Address2612 Yelm Hwy SeOlympia, WA 98501-4826 · (360) 507-8146 · Fax (360) 839-2852
Phone(360) 507-8146
Fax(360) 839-2852
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 13, 2025
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1811788771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WA · AP70043574
2612 YELM HWY SE, Olympia, WA 98501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kailey Jayckline Ellison Whnp 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 ID4486143468
PECOS Enrollment IDI20251029004611
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.

Medicare Billing Reassignment

Medicare enrollment records show Kailey Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amber Campbell Arnp
Same address
Family
2612 YELM HWY SE
Olympia, WA 98501
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1477200673 (360) 507-8146

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98501 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.

Other Providers at the Same Location NPPES 7

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

ANDREA M. VANCLEAVE, DDS, PLLC
Dentist (Pediatric Dentistry)
2612 YELM HWY SE, SUITE A
OLYMPIA, WA 98501
Thurston County (360) 352-3515
DR. JAMES ROBERT ALLINDER D.D.S.
Dentist
2612 YELM HWY SE, SUITE A
OLYMPIA, WA 98501
Thurston County (360) 352-3515
MS. CAROLE LOUISE LAYTON FNTP
Health and Wellness Coach
2612 YELM HWY SE
OLYMPIA, WA 98501
Thurston County (360) 507-8146
ALYSSA ULSH
Nurse Practitioner (Family)
2612 YELM HWY SE
OLYMPIA, WA 98501
Thurston County (360) 507-8146
AMBER CAMPBELL ARNP
Nurse Practitioner (Family)
2612 YELM HWY SE
OLYMPIA, WA 98501
Thurston County (360) 507-8146
CASSIDY ANNE ERMSHAR PA-C
Physician Assistant (Medical)
2612 YELM HWY SE
OLYMPIA, WA 98501
Thurston County (360) 507-8146
AMBER CAMPBELL ARNP
Nurse Practitioner (Family)
2612 YELM HWY SE
OLYMPIA, WA 98501
Thurston County (360) 507-8146

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 Kailey Ellison's NPI number?

The NPI number for Kailey Ellison is 1811788771. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Kailey Ellison located?

Kailey Ellison practices at 2612 Yelm Hwy SE, Olympia, WA 98501. The listed phone number is (360) 507-8146.

What is Kailey Ellison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kailey Ellison enrolled in Medicare?

Yes. Kailey Ellison 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.

Which organization bills Medicare for Kailey Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kailey Ellison reassigns Medicare benefits to Amber Campbell Arnp (Olympia, WA). The 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 Kailey Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kailey Ellison accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kailey Ellison 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 Kailey Ellison was last updated on August 24, 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.