KC BLY CNM
NPI 1902198708
Advanced Practice Midwife in Vancouver, WA

Q: What is Kc Bly's NPI number?

The NPI number for Kc Bly is 1902198708. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Q: What is Kc Bly's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kc Bly was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 11, 2011PECOS Enrolled

2525 NE 139TH ST, VANCOUVER, WA 98686(360) 882-2778 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2023, Jun 5, 2023, Sep 18, 2020 (3 updates tracked since 2020).

On this page

About Kc Bly Cnm NPPES

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

KC BLY CNM (NPI 1902198708) is an individual advanced practice midwife in Vancouver, Washington, licensed in Washington (AP61053772) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902198708

Entity TypeIndividualMale

Primary Taxonomy367A00000X

Provider Legal NameKC BLYCredential: CNM

Location Address2525 NE 139TH STVancouver, WA 98686-2719

Mailing Address13898 Ne 28th StVancouver, WA 98682-8844 · (360) 541-2421

Phone(360) 882-2778

Sole ProprietorNo

Enumeration DateMay 11, 2011

Last NPPES UpdateOctober 17, 20243 updates tracked since enumeration

NPPES CertifiedOctober 17, 2024

✔ NPI 1902198708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Licenses✔ Licensed in WA · AP61053772✔ Licensed in OR · 202107304NP-PP

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

2525 NE 139TH ST, Vancouver, WA 98686

Open in Google Maps ↗

Other Identifiers 2

Medicaid009003526CT

Medicaid500795806OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kc Bly Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Kc Bly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Vancouver Clinic Inc Ps

7.1 mi

Internal Medicine

700 NE 87TH AVE
Vancouver, WA 98664

Reassigned Medicare billing, Washington enrollment
711 clinicians in this Medicare group

NPI 1992759427 (360) 882-2778

Legacy Clinics LLC

13 mi

Clinic/Center

1130 NW 22ND AVE STE 220
Portland, OR 97210

Reassigned Medicare billing, Oregon enrollment
1,248 clinicians in this Medicare group

NPI 1902827272 (503) 413-2901

University Of Utah Adult Services

631 mi

Dermatology

165 N. UNIVERSITY AVE. FARMINGTON
Farmington, UT 84025

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1649724139 (801) 213-3200

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 98686 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

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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 20

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

ALLISON LAWRENCE CNM

Advanced Practice Midwife

2525 NE 139TH ST
VANCOUVER, WA 98686

Clark County (360) 882-2778

TORI MARIE NORMAN WHNP-BC

Nurse Practitioner (Women's Health)

2525 NE 139TH ST
VANCOUVER, WA 98686

Clark County (360) 882-2778

JOSEPH D MATHIAS

Physician Assistant

2525 NE 139TH ST
VANCOUVER, WA 98686

Clark County (360) 882-2778

ROBERT B DAVIS MD

Internal Medicine

2525 NE 139TH ST, THE VANCOUVER CLINIC
VANCOUVER, WA 98686

Clark County (360) 397-3810

MS. ADRIENNE MICHELLE HECKLER MD

Urology

2525 NE 139TH ST, SUITE 220
VANCOUVER, WA 98686

Clark County (360) 882-2778

DR. NINA SOFIA UPHAM M.D.

Family Medicine (Sports Medicine)

2525 NE 139TH ST
VANCOUVER, WA 98686

Clark County (360) 882-2778

DR. CARRIE NICOLE CARUTHERS M.D.

Allergy & Immunology

2525 NE 139TH ST, SUITE 210
VANCOUVER, WA 98686

Clark County (360) 882-2778

SONYA NICOLE STRENGE PA-C

Physician Assistant (Medical)

2525 NE 139TH ST
VANCOUVER, WA 98686

Clark County (360) 397-4000

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 Kc Bly's NPI number?

The NPI number for Kc Bly is 1902198708. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Kc Bly located?

Kc Bly practices at 2525 NE 139th St, Vancouver, WA 98686. The listed phone number is (360) 882-2778.

What is Kc Bly's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kc Bly enrolled in Medicare?

Yes. Kc Bly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kc Bly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kc Bly reassigns Medicare benefits to 3 organizations: The Vancouver Clinic Inc Ps (Vancouver, WA), Legacy Clinics LLC (Portland, OR) and University Of Utah Adult Services (Farmington, UT). Each 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 Kc Bly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kc Bly accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kc Bly 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 Kc Bly was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.