Individual provider Active NPI

Kelly Ann Donlin, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1013639145
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61341892 Issued in WA
Practice address
10564 5TH Ave NE Ste 302
Seattle, WA 98125-7200
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 61341892 WA Primary

Addresses

Primary practice location

10564 5TH Ave NE Ste 302
Seattle, WA 98125-7200

Mailing address

500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (509) 222-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, MT, ND4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230111002910 WA Practitioner - Nurse Practitioner 4486024205 Reassigns benefits to 1 organization
I20240605002432 OR Practitioner - Nurse Practitioner 4486024205 Reassigns benefits to 2 organizations
I20240717001666 MT Practitioner - Nurse Practitioner 4486024205 Reassigns benefits to 1 organization
I20250129000789 ND Practitioner - Nurse Practitioner 4486024205 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61341892WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Option, PLLC Current Accepting new patients

Locations

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

5615 Dunbarton Ave
Pasco, WA 99301
Phone 50922212752123

500 SW 7th St
Ste A205
Renton, WA 98057

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1013639145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "509-222-1275",
            "fax_number": "509-491-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLIN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "61341892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.