Individual provider Active NPI

Kerri Leslie Kremer, ARNP, FNP-C, RNFA

  • Family Nurse Practitioner
  • Richland, WA
National Provider Identifier
1265403588
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60045990 Issued in WA
Practice address
560 Gage Blvd Ste 101&206
Richland, WA 99352-8650
Phone
(509) 946-1654
Fax
(509) 943-5652
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 AP60045990 WA Primary
Medical-Surgical Registered Nurse 163WM0705X RN00095775 WA
Licensed Practical Nurse 164W00000X RN00095775 WA
Nurse Practitioner 363L00000X AP60045990 WA

Addresses

Primary practice location

560 Gage Blvd Ste 101&206
Richland, WA 99352-8650

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 473-0637

Other practice location 1

2500 Canyon Rd Bldg B
Bullhead City, AZ 86442-8624
Phone (928) 763-9290

Other identifiers 2

IdentifierTypeStateIssuer
9611559MedicaidWA
174428OtherWALABOR & INDUSTRIES

Other names 1

  • Kerri Lesilie Ross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, NM3 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
I20081031000402 WA Practitioner - Nurse Practitioner 2264591593 Reassigns benefits to 1 organization
I20140214001179 TX Practitioner - Nurse Practitioner 2264591593 Reassigns benefits to 1 organization
I20200803002609 NM Practitioner - Nurse Practitioner 2264591593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

560 Gage Blvd
Suite 101And206
Richland, WA 99352-8650
Phone (509) 942-3286

Hospital & facility affiliations

  • Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60045990WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Apr 29, 2024 Accepting new patients
Kadlec Regional Medical Center CurrentSince Apr 29, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Sep 21, 2020 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Sep 21, 2020 Accepting new patients
Lake Chelan Clinic, P.C. Past Accepting new patients
Lake Chelan Clinic, P.C. Past Accepting new patients

Locations

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

560 Gage Blvd
Ste 101206
Richland, WA 99352
Phone (509) 942-3286

560 Gage Blvd
Richland, WA 99352
Phone (509) 942-3135

560 Gage Blvd
Ste 101
Richland, WA 99352
Phone (509) 628-2843

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

550 Gage Blvd
Ste 101
Richland, WA 99352

Interoperability endpoints

  • Direct secure messaging: kkremer3255056@wm.providencedirect.org

Organizations & group practices 7

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 2

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1265403588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-473-0637",
            "fax_number": "509-627-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD STE 101&206",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993528650",
            "telephone_number": "509-946-1654",
            "fax_number": "509-943-5652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Canyon Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428624",
            "country_code": "US",
            "telephone_number": "928-763-9290",
            "fax_number": "928-763-7628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMER",
        "first_name": "KERRI",
        "middle_name": "LESLIE",
        "credential": "ARNP, FNP-C, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60045990",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WA",
            "license": "RN00095775",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "RN00095775",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60045990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9611559",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "174428",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "ROSS",
            "middle_name": "LESILIE",
            "credential": "FNP-C, RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.