NPIMap

Individual provider Active NPI

Lauren Kelson, PA

  • Physician Assistant
  • Olympia, WA
National Provider Identifier
1326582669
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61475773 Issued in WA
Practice address
3703 Ensign Rd NE # 10B
Olympia, WA 98506-5038
Phone
(360) 455-5091
NPI assigned
Dec 6, 2016
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 54063 CA
Physician Assistant 363A00000X 61475773 WA Primary

Addresses

Primary practice location

3703 Ensign Rd NE # 10B
Olympia, WA 98506-5038

Mailing address

3703 Ensign Rd NE # 10B
Olympia, WA 98506-5038
Phone (360) 455-5091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725000016 WA Practitioner - Physician Assistant 0840572426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sasha Cavanagh MD PCGroup PAC ID 7012065360, 2 clinicians

Practice addresses (Care Compare)

3703 Ensign Rd NE
Olympia, WA 98506-5038

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61475773WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Fein PC PastSince Nov 1, 2025 Accepting new patients
Palos Verdes Skin Surgery Ctr Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBCEBA/Endpoint/CBCEBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1326582669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 ENSIGN RD NE # 10B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065038",
            "telephone_number": "360-455-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 ENSIGN RD NE # 10B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065038",
            "telephone_number": "360-455-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSON",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54063",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "61475773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.