Individual provider Active NPI

Kelena Bechler, PA

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1326569898
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61374911 Issued in WA
Practice address
4755 Fauntleroy Way SW Ste 100
Seattle, WA 98116-4647
Phone
(206) 201-0551
Fax
(206) 201-0552
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020922 NY
Physician Assistant 363A00000X PA61374911 WA Primary

Addresses

Primary practice location

4755 Fauntleroy Way SW Ste 100
Seattle, WA 98116-4647

Mailing address

4755 Fauntleroy Way SW Ste 100
Seattle, WA 98116-4647
Phone (206) 201-0551

Other identifiers 1

IdentifierTypeStateIssuer
2256064MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbechler796009@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170830001483 NY Practitioner - Physician Assistant 7416220249 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hicksville Family Medical Care PLLCGroup PAC ID 7416290564, 45 clinicians

Practice addresses (Care Compare)

232 W Old Country Rd
Hicksville, NY 11801-4011
Phone (516) 938-1550

3715 23Rd Ave
Astoria, NY 11105-1993
Phone (855) 936-7362

8010 Northern Blvd
Jackson Heights, NY 11372-1345
Phone (855) 936-7362

9018 Sutphin Blvd
Jamaica, NY 11435-3636
Phone (855) 936-7362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020922NYMDSpeech-Language Pathologist

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 15, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 15, 2022 Accepting new patients
Fpa Hospital Based CurrentSince May 17, 2022 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2017 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2017 Accepting new patients
JPR Urgent Medical Care Past Accepting new patients

Locations

98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 10

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1326569898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 FAUNTLEROY WAY SW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164647",
            "telephone_number": "206-201-0551",
            "fax_number": "206-201-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 FAUNTLEROY WAY SW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164647",
            "telephone_number": "206-201-0551",
            "fax_number": "206-201-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHLER",
        "first_name": "KELENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020922",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61374911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2256064",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbechler796009@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4755 Fauntleroy Way SW Ste 100",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981164647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.