Kelley Lynn Cline, MD
Individual provider Active NPI Neuroradiology Physician · Seattle, WA
NPI 1497941504 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1497941504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neuroradiology Physician 2085N0700X
- License
- MD00047605 (WA)
- Practice address
- 1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-0001 - Phone
- (206) 543-0065
- NPI assigned
- Sep 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 37
Hospital & facility affiliations 28
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Whidbey Island Public Hospital District
Fairbanks Medical Imaging LLC
Skagit Radiology Inc P S
North Star Medical Imaging PLLC
Bellingham Advanced Medical Imaging LLC
Skagit Digital Imaging LLC
Jefferson County Public Hospital District No 2
Practice addresses (Care Compare)
101 N Main St
Coupeville, WA 98239-3413
1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 678-5151
1320 E Division St
Mount Vernon, WA 98274-4133
Phone (360) 424-6161
1344 King St
Suite 101
Bellingham, WA 98229-6215
Phone (360) 424-6161
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-6161
2310 Peger Rd
Suite 102
Fairbanks, AK 99709-5305
Phone (360) 424-6161
250 Hospital PL
Soldotna, AK 99669-7559
Phone (360) 424-6161
272 Stacy Dr
Soldotna, AK 99669-7835
Phone (360) 424-6161
310 S 11TH St
Unit 109
Mount Vernon, WA 98274-4052
Phone (360) 424-6161
330 S Stillaguamish Ave
Arlington, WA 98223-1642
Phone (360) 678-5151
3822 Colby Ave
Suite 100
Everett, WA 98201-4913
Phone (360) 424-6161
7167 NE 126TH St
Kirkland, WA 98034-5717
Phone (360) 424-6161
827 97TH Ave SE
Bellevue, WA 98004-6752
Phone (360) 424-6161
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200
Hospital & facility affiliations
- Skagit Valley Hospital
- Island Hospital
- Central Peninsula General Hospital
- Whidbeyhealth Medical Center
- Cascade Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080821000490 | WA | Practitioner - Diagnostic Radiology | 4486729605 | Reassigns benefits to 11 organizations |
| I20090105000030 | AK | Practitioner - Diagnostic Radiology | 4486729605 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00047605 | WA | MD | Neuroradiology Physician |
Practice roles
Locations
2310 Peger Rd
Ste 102
Fairbanks, AK 99709
250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404
162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
1344 King St
Ste 101
Bellingham, WA 98229
Phone (360) 676-6393
101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
125 N 18th St
Ste C
Mount Vernon, WA 98273
Phone (360) 428-7274
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
1320 E Division St
Mount Vernon, WA 98274
Phone (360) 424-9607
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
Interoperability endpoints
- kcline12593@skagit.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | MD00047605 | WA | Yes |
Addresses
Primary practice location
1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-0001
Mailing address
1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-0001
Other providers in Seattle, WA
- Kristen Clifton
- Richelle Lee Clifton
- Sarah Clifton
- Ivaly Elizabeth Cline-Welch
- Ellen Cline
- Kelsey Coleen Cline
- Nicole Christine Cline
- Terrance Paul Cliney
- Rebekah Clinger-Prince
- Clinician Link, LLC
All providers in Seattle, WA · Neuroradiology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.