Kirsten Pickard, FNP – Family Nurse Practitioner

Key facts

NPI: 1285030593
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: AP60518938 (WA)
Practice address: 7 Deye LN
Eastsound, WA 98245-8578
Phone: (360) 376-2561
NPI assigned: Nov 13, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Public Hospital District No 2 Skagit County Washington Rural Health Clinic/Center · Lopez, WA · NPI 1740203967

Medicare reassignment NPD WA
As Medical of New York PC Adult Medicine Physician · New York, NY · NPI 1174219679

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150930000044	WA	Practitioner - Nurse Practitioner	1153639851	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Public Hospital District No 2 Skagit County Washington		Current	Accepting new patients
As Medical of New York PC		Past	Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

7 Deye Ln
Eastsound, WA 98245
Phone (360) 293-3101

Interoperability endpoints

Direct secure messaging: kirsten.pickard.1@22378.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	AP60518938	WA	Yes

Addresses

Primary practice location

7 Deye LN
Eastsound, WA 98245-8578

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700

Other practice location 1

689 Airport Circle Dr
Friday Harbor, WA 98250-7187
Phone (360) 378-1338

Other identifiers

Identifier	Type	State	Issuer
G8970970	Other	WA	MEDICARE PIN
1285030593	Medicaid	WA

Other providers in Eastsound, WA

All providers in Eastsound, WA · Family Nurse Practitioner in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.