Individual provider Active NPI

Kelsey Anne Van Every, PAC

  • Physician Assistant
  • Federal Way, WA
National Provider Identifier
1013499110
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60826579 Issued in WA
Practice address
34509 9TH Ave S Ste 304
Federal Way, WA 98003-8709
Phone
(253) 939-1230
Fax
(360) 874-5959
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60826579 WA Primary

Addresses

Primary practice location

34509 9TH Ave S Ste 304
Federal Way, WA 98003-8709

Mailing address

34509 9TH Ave S Ste 304
Federal Way, WA 98003-8709
Phone (253) 939-1230

Other identifiers 1

IdentifierTypeStateIssuer
2107549MedicaidWA

Other names 1

  • Kelsey Anne Hansen Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khansen315694@fhsce.catholichealth.net
Direct Messaging Address khansen315694@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120001449 WA Practitioner - Physician Assistant 9537413026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

16233 Sylvester Rd SW
Burien, WA 98166-3044

34503 9TH Ave S
Federal Way, WA 98003-8726

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Oct 15, 2018 Accepting new patients
Franciscan Medical Group CurrentSince Oct 15, 2018 Accepting new patients
Franciscan Medical Group Physician Assistant Past Accepting new patients

Locations

16233 Sylvester Rd SW
Ste 260
Burien, WA 98166
Phone (206) 244-3363

34509 9th Ave S
Ste 304
Federal Way, WA 98003
Phone (253) 939-1230

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: khansen315694@fhsce.catholichealth.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1013499110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 304",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038709",
            "telephone_number": "253-939-1230",
            "fax_number": "360-874-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34509 9TH AVE S STE 304",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038709",
            "telephone_number": "253-939-1230",
            "fax_number": "360-874-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EVERY",
        "first_name": "KELSEY",
        "middle_name": "ANNE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60826579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107549",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khansen315694@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "34509 9th Ave S Ste 304",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980038709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khansen315694@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34509 9th Ave S Ste 304",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980038709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HANSEN",
            "middle_name": "ANNE",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.