Individual provider Active NPI

Jennifer Lynn Fordmeir, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1518399286
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60404206 Issued in WA
Practice address
216 W 10TH Ave
Kennewick, WA 99336-6300
Phone
(509) 870-9150
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60404206 WA Primary

Addresses

Primary practice location

216 W 10TH Ave
Kennewick, WA 99336-6300

Mailing address

PO Box 959
Yakima, WA 98907-0959
Phone (509) 575-4084

Other practice location 1

30 S Louisiana St
Kennewick, WA 99336-9002
Phone (509) 401-8384

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
I20131122001988 WA Practitioner - Nurse Practitioner 7214163179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelsior Family Medicine LLCGroup PAC ID 2567875065, 6 clinicians

Practice addresses (Care Compare)

3754 W Indian Trail Rd
Spokane, WA 99208-4736
Phone (509) 467-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60404206WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Family Medicine LLC CurrentSince Jul 28, 2025 Accepting new patients
Mindful Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Lourdes Hospital LLC CurrentSince Sep 1, 2018 Accepting new patients
Comprehensive Healthcare - Benton County Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients

Locations

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104

3754 W Indian Trail Rd
Spokane, WA 99208
Phone (509) 328-7041

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1518399286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070959",
            "telephone_number": "509-575-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W 10TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366300",
            "telephone_number": "509-870-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 S Louisiana St",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993369002",
            "country_code": "US",
            "telephone_number": "509-401-8384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORDMEIR",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60404206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.