Individual provider Active NPI

Katelyn Neufeld, NP

  • Family Nurse Practitioner
  • Port Orchard, WA
National Provider Identifier
1689289357
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61091733 Issued in WA
Practice address
463 Tremont St W
Ste 200
Port Orchard, WA 98366-3743
Phone
(360) 876-2434
Fax
(360) 876-2696
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61091733 WA Primary

Addresses

Primary practice location

463 Tremont St W
Ste 200
Port Orchard, WA 98366-3743

Mailing address

463 Tremont St W
Ste 200
Port Orchard, WA 98366-3743
Phone (360) 876-2434

Other names 1

  • Katelyn Hagen Former name

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
I20201113001074 WA Practitioner - Nurse Practitioner 0941610380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Frandsen Family Medicine PSGroup PAC ID 5092819011, 3 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

463 Tremont St W
Suite 200
Port Orchard, WA 98366-3743
Phone (360) 876-2434

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61091733WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizonview Health, PLLC Family Medicine CurrentSince Nov 5, 2020 Accepting new patients
Frandsen Family Medicine PS CurrentSince May 12, 2024 Accepting new patients

Locations

463 Tremont St W
Ste 200
Port Orchard, WA 98366
Phone (360) 876-2434

1408 3rd St SE
Ste 200
Puyallup, WA 98372
Phone (253) 268-3345

Interoperability endpoints

  • Direct secure messaging: katelyn.neufeld.1@19590.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1689289357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 TREMONT ST W",
            "address_2": "STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663743",
            "telephone_number": "360-876-2434",
            "fax_number": "360-876-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 TREMONT ST W",
            "address_2": "STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663743",
            "telephone_number": "360-876-2434",
            "fax_number": "360-876-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUFELD",
        "first_name": "KATELYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61091733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "HAGEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.