Individual provider Active NPI

Kersten Larayne Bailey, NP

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1356963789
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7228 Issued in MN
Practice address
100 E 33Rd St Ste 206
Vancouver, WA 98663-2776
Phone
(360) 340-9570
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61071006 WA
Family Nurse Practitioner 363LF0000X 7228 MN Primary

Addresses

Primary practice location

100 E 33Rd St Ste 206
Vancouver, WA 98663-2776

Mailing address

100 E 33Rd St Ste 206
Vancouver, WA 98663-2776
Phone (612) 823-1458

Other practice location 1

2781 S 242nd St
Des Moines, WA 98198-5166
Phone (062) 124-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20221110002917 WA Practitioner - Nurse Practitioner 7416324090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

10004 204TH Ave E
Suite 2600
Bonney Lake, WA 98391-6539
Phone (253) 482-8700

1624 I St S
Suite 305
Tacoma, WA 98405-5093

1624 S I St
Tacoma, WA 98405-5093
Phone (253) 428-8700

2781 S 242ND St
Des Moines, WA 98198-5166
Phone (206) 212-4500

2920 S Meridian
Suite 100
Puyallup, WA 98373-1654
Phone (253) 428-8700

2940 S Meridian
Suite 200
Puyallup, WA 98373-1659
Phone (253) 428-8700

34509 9TH Ave S
Suite 107
Federal Way, WA 98003-8707
Phone (253) 428-8700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson'S Bay Medical Group, Inc., P.S. Family CurrentSince Oct 17, 2022 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Northwest Medical Specialties PLLC CurrentSince Oct 6, 2025 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jun 16, 2025 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jun 16, 2025 Accepting new patients

Locations

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

1624 S I St
Ste 305
Tacoma, WA 98405

100 E 33rd St
Ste 206
Vancouver, WA 98663
Phone (360) 695-1334

100 E 33rd St
Ste 206A
Vancouver, WA 98663
Phone (360) 695-1334

Interoperability endpoints

  • Direct secure messaging: kbailey843472@direct.multicare.org

Organizations & group practices 5

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1356963789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 33RD ST STE 206",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632776",
            "telephone_number": "612-823-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 33RD ST STE 206",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632776",
            "telephone_number": "360-340-9570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2781 S 242nd St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981985166",
            "country_code": "US",
            "telephone_number": "062-124-5002",
            "fax_number": "206-212-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "KERSTEN",
        "middle_name": "LARAYNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61071006",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.