Individual provider Active NPI

Colleen M O'Kelly Priddy, MD

  • Surgery Physician
  • Seattle, WA
National Provider Identifier
1033319439
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60096012 Issued in WA
Practice address
1221 Madison St Ste 600
Seattle, WA 98104-1364
Phone
(206) 215-5900
Fax
(206) 215-2250
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60096012 WA Primary

Addresses

Primary practice location

1221 Madison St Ste 600
Seattle, WA 98104-1364

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

7320 216th St SW Ste 100
Edmonds, WA 98026-8006
Phone (425) 313-5596

Other identifiers 1

IdentifierTypeStateIssuer
2019405MedicaidWA

Other names 1

  • Colleen M O'Kelly Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029003709 WA Practitioner - General Surgery 1456678614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Nevada School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

1221 Madison St
Suite 1020
Seattle, WA 98104-1380
Phone (206) 215-2658

Hospital & facility affiliations

  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60096012WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Surgery CurrentSince Oct 6, 2025 Accepting new patients
Swedish Health Services Surgery Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

7320 216th St SW
Ste 100
Edmonds, WA 98026
Phone (425) 313-5596

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1221 Madison St
Ste 1020
Seattle, WA 98104
Phone (206) 215-2658

1221 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-5900

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: cokellypriddy4045473@wm.providencedirect.org
  • Direct secure messaging: cokellypriddy198995@direct.renown.org

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.

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1033319439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MADISON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041364",
            "telephone_number": "206-215-5900",
            "fax_number": "206-215-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7320 216th St SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268006",
            "country_code": "US",
            "telephone_number": "425-313-5596",
            "fax_number": "425-955-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KELLY PRIDDY",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60096012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019405",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "O'KELLY",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.