ELLYSE RENEE RENGSTORF
NPI 1952833683
Family Medicine in Poulsbo, WA

Q: What is Ellyse Rengstorf's NPI number?

The NPI number for Ellyse Rengstorf is 1952833683. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Q: What is Ellyse Rengstorf's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellyse Rengstorf was last updated on August 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment

19245 7TH AVE NE, POULSBO, WA 98370(360) 782-3501(360) 782-3540 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2022, Dec 17, 2020, Mar 31, 2017 (3 updates tracked since 2017).

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About Ellyse Renee Rengstorf NPPES

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

ELLYSE RENEE RENGSTORF (NPI 1952833683) is an individual family medicine provider in Poulsbo, Washington, licensed in Washington (MD61074527) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and maintains a secondary practice location in Silverdale.

NPPES Registry Identity

NPI1952833683

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELLYSE RENEE RENGSTORF

Location Address19245 7TH AVE NEPoulsbo, WA 98370-6551

Mailing Address9621 Ridgetop Blvd NwSilverdale, WA 98383-8502 · (360) 782-3600

Phone(360) 782-3501

Fax(360) 782-3540

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2017

Enumeration DateMarch 31, 2017

Last NPPES UpdateAugust 1, 20233 updates tracked since enumeration

NPPES CertifiedAugust 1, 2023

✔ NPI 1952833683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD61074527

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

19245 7TH AVE NE, Poulsbo, WA 98370

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Secondary Practice Location 1

Location 19398 Ridgetop Blvd NWSilverdale, WA 98383-8505 · Phone (360) 782-3201 · Fax (360) 782-3240

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Ellyse Renee Rengstorf 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 ID6002226651

PECOS Enrollment IDI20201110001476

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 13

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.

330 services191 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

200 services136 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

187 services187 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

44 services44 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

44 services44 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

35 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

33 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

26 services26 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.

21 services20 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.

17 services13 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

16 services15 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.

16 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500039

Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County

Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number500072

Location939 Caroline StPort Angeles, WA 98362 · Clallam County

Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501323

Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98370 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.

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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.

JOHN JOSEPH CORRALES-DIAZ MD

Pediatrics