Individual provider Active NPI

Kaylee J Oberbarnscheidt

  • Psychiatric/Mental Health Nurse Practitioner
  • Colville, WA
National Provider Identifier
1174114136
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61579827 Issued in WA
Practice address
982 E Columbia Ave Ste 201
Colville, WA 99114-3316
Phone
(509) 685-5000
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60788010 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61579827 WA Primary

Addresses

Primary practice location

982 E Columbia Ave Ste 201
Colville, WA 99114-3316

Mailing address

165 E Hawthorne Ave
Colville, WA 99114-2629
Phone (509) 684-4597

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
I20240805003208 WA Practitioner - Nurse Practitioner 7113464447 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60788010WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens County CurrentSince Jul 29, 2024 Accepting new patients
Stevens County CurrentSince Jul 29, 2024 Accepting new patients
Stevens County PastSince Feb 7, 2021 Accepting new patients

Locations

165 E Hawthorne Ave
Colville, WA 99114
Phone (509) 684-4597

982 E Columbia Ave
Ste 201
Colville, WA 99114
Phone (509) 684-4597

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1174114136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E HAWTHORNE AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142629",
            "telephone_number": "509-684-4597",
            "fax_number": "509-684-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 E COLUMBIA AVE STE 201",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991143316",
            "telephone_number": "509-685-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERBARNSCHEIDT",
        "first_name": "KAYLEE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60788010",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61579827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

Verify at the official NPI Registry.