KELLY SUE BRACKEN PMHNP
NPI 1861366932
Nurse Practitioner - Psychiatric/Mental Health in Vancouver, WA

Q: What is Kelly Sue Bracken's NPI number?

The NPI number for Kelly Sue Bracken is 1861366932. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Q: What is Kelly Sue Bracken's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Sue Bracken was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 01, 2025

400 E EVERGREEN BLVD STE 217, VANCOUVER, WA 98660(509) 596-1138(971) 308-7811 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Sue Bracken Pmhnp NPPES

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

KELLY SUE BRACKEN PMHNP (NPI 1861366932) is an individual psychiatric/mental health provider in Vancouver, Washington, licensed in Washington (AP70050596) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1861366932

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY SUE BRACKENCredential: PMHNP

Location Address400 E EVERGREEN BLVD STE 217Vancouver, WA 98660-3264

Mailing Address400 E Evergreen Blvd Ste 217Vancouver, WA 98660-3264 · (509) 596-1138 · Fax (971) 308-7811

Phone(509) 596-1138

Fax(971) 308-7811

Sole ProprietorNo

Enumeration DateOctober 1, 2025

NPPES CertifiedOctober 1, 2025

✔ NPI 1861366932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP70050596

400 E EVERGREEN BLVD STE 217, Vancouver, WA 98660

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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.

JOHN JOHNSON NURSE PRACTITIONER

Nurse Practitioner (Psychiatric/Mental Health)

400 E EVERGREEN BLVD STE 217
VANCOUVER, WA 98660

Clark County (509) 596-1138

ALBERTO BENITEZ

Counselor (Professional)

400 E EVERGREEN BLVD STE 217
VANCOUVER, WA 98660

Clark County (509) 596-1138

RAGNAR W SCOTT PMHNP

Psychiatry & Neurology (Psychiatry)

400 E EVERGREEN BLVD STE 217
VANCOUVER, WA 98660

Clark County (509) 596-1138

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 Sue Bracken's NPI number?

The NPI number for Kelly Sue Bracken is 1861366932. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Kelly Sue Bracken located?

Kelly Sue Bracken practices at 400 E Evergreen Blvd Ste 217, Vancouver, WA 98660. The listed phone number is (509) 596-1138.

What is Kelly Sue Bracken's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kelly Sue Bracken was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.