Individual provider Active NPI

Angela T. Kalem, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1265020002
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61539393 Issued in WA
Practice address
9212 E Montgomery Ave Ste 401-1
Spokane Valley, WA 99206-4269
Phone
(509) 517-7465
Fax
(509) 641-4625
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011339 FL
Psychiatry Physician 2084P0800X RN9278408 FL
Integrative Medicine Physician 202D00000X 11011339 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61539393 WA Primary

Addresses

Primary practice location

9212 E Montgomery Ave Ste 401-1
Spokane Valley, WA 99206-4269

Mailing address

9212 E Montgomery Ave Ste 401-1
Spokane Valley, WA 99206-4269
Phone (509) 517-7465

Other practice location 1

50 W 32nd Ave
Spokane, WA 99203-1758
Phone (904) 449-9518

Other practice location 2

538 Park Ave Ste 2
Orange Park, FL 32073-3111
Phone (509) 517-7465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210224001830 FL Practitioner - Nurse Practitioner 9931514965
I20240606003374 WA Practitioner - Nurse Practitioner 9931514965 Reassigns benefits to 4 organizations
I20260508002581 OH Practitioner - Nurse Practitioner 9931514965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

915 Broadway St
Suite 137
Vancouver, WA 98660-3278
Phone (503) 208-5061

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
72.08
Promoting interoperability
70
Improvement activities
40
Cost
66.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9278408FLMDPsychiatry Physician
11011339FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Care Provider Group PA CurrentSince Mar 4, 2026 Accepting new patients
Harbor Youth and Family Counseling CurrentSince May 21, 2024 Accepting new patients
Imbue Mind, PLLC Psychiatric/Mental Health CurrentSince Mar 20, 2025 Accepting new patients
Dna Comprehensive Therapy Services, LLC Psychiatry CurrentSince Mar 1, 2021 Accepting new patients
Washington Pac Services PC CurrentSince Mar 1, 2026 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Wa Pacs 2 PC CurrentSince Mar 1, 2026 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

3636 University Blvd S
Ste B2
Jacksonville, FL 32216
Phone (844) 808-9096

2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200

7751 Baymeadows Rd E
Ste H
Jacksonville, FL 32256
Phone (904) 425-6963

538 Park Ave
Ste 2
Orange Park, FL 32073
Phone (512) 842-2223

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

221 W Wynooche Ave
Unit B
Montesano, WA 98563
Phone (360) 280-4969

1314 S Grand Blvd
Ste 2
Spokane, WA 99202
Phone (509) 505-7481

9212 E Montgomery Ave
Ste 401-1
Spokane Valley, WA 99206
Phone (509) 517-7465

16000 Christensen Rd
Ste 200
Tukwila, WA 98188
Phone (833) 719-0886

915 Broadway St
Ste 137
Vancouver, WA 98660
Phone (503) 208-5061

Interoperability endpoints

  • Direct secure messaging: angela.kalem.1@24259.direct.athenahealth.com

Organizations & group practices 8

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1265020002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 E MONTGOMERY AVE STE 401-1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064269",
            "telephone_number": "509-517-7465",
            "fax_number": "509-641-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 E MONTGOMERY AVE STE 401-1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064269",
            "telephone_number": "509-517-7465",
            "fax_number": "509-641-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 W 32nd Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992031758",
            "country_code": "US",
            "telephone_number": "904-449-9518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "538 Park Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320733111",
            "country_code": "US",
            "telephone_number": "509-517-7465",
            "fax_number": "509-641-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALEM",
        "first_name": "ANGELA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011339",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "RN9278408",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "FL",
            "license": "11011339",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61539393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.