Kelsey Lynn Gretzinger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

19255 SW 65TH Ave Ste 200
Tualatin, OR 97062-9712

Phone

(503) 828-1150

Fax

(503) 828-1160

NPI assigned

Nov 6, 2018

Last updated

Dec 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Lynn Bensman Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert L Tatsumi MD PCGroup PAC ID 1557616828, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
• Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
• Legacy Silverton Medical Center Hospital, Silverton, OR, CCN 380029

Merit-based Incentive Payment System (MIPS)

Final score

93.65 of 100Reported as group

Quality

86.8

Promoting interoperability

100

Improvement activities

40

Cost

86.36

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kelsey.gretzinger@1621.securemail.prognocis.com

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.

• Robert L Tatsumi MD PC

  • Orthopaedic Surgery of the Spine Physician
  • Tualatin, OR
  • NPI 1942702642
  Medicare reassignment Care Compare group
• Oregon Spine Care LLC

  dba Oregon Spine Care

  • Orthopaedic Surgery of the Spine Physician
  • Tualatin, OR
  • NPI 1376972182
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Legacy Meridian Park Hospital

  • General Acute Care Hospital
  • Tualatin, OR
  • NPI 1184647620
  Care Compare affiliation
• Providence Health & Services - Oregon

  dba Providence Medical Group

  • Clinic/Center
  • Portland, OR
  • NPI 1326272741

  Hospital

  Care Compare affiliation
• Providence Health & Services - Oregon

  dba Providence Willamette Falls Medical Center

  • General Acute Care Hospital
  • Oregon City, OR
  • NPI 1912282369
  Care Compare affiliation
• Silverton Health

  dba Legacy Silverton Medical Center

  • General Acute Care Hospital
  • Silverton, OR
  • NPI 1669424354
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1619445715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 NW EVERETT ST APT 319",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19255 SW 65TH AVE STE 200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629712",
            "telephone_number": "503-828-1150",
            "fax_number": "503-828-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETZINGER",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "BENSMAN",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simone Gray
• Ann Graziano, DPT
• Sonja Greenman, LMT
• Carol Greenough, PHD.
• Sonya Esme Gregg, CPM, LDM
• Gwen Johanna Grewe, M.D.
• Julianne Keithly Griffin, RN
• Allison Grosh, OTD, OTR/L
• Noreen Valdez Gruber, LPC
• Gso Equipment Corp (The Oregon Clinic Endoscopy Center - Tualatin)

• Physician Assistant in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.