Active NPI
Katelyn Neufeld, NP
- Family Nurse Practitioner
- Port Orchard, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61091733
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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 Inc
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61091733 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizonview Health, PLLC | Family Medicine | Current | Accepting new patients |
| Frandsen Family Medicine PS | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Port Orchard, WA
- NPI 1306971296
-
- Obesity Medicine (Internal Medicine) Physician
- Puyallup, WA
- NPI 1114423928
Family Medicine
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.