Individual provider Active NPI

Kelle Gayelena Ronnfeldt, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Townsend, WA
National Provider Identifier
1700349461
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60948498 Issued in WA
Practice address
844 West Park Ave
Port Townsend, WA 98368
Phone
(360) 385-0321
NPI assigned
Apr 10, 2019
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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 AP60948498 WA Primary

Addresses

Primary practice location

844 West Park Ave
Port Townsend, WA 98368

Mailing address

884 W Park Ave
Port Townsend, WA 98368-2273
Phone (360) 385-0321

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
I20190607002465 WA Practitioner - Nurse Practitioner 8729311634 Reassigns benefits to 2 organizations
Practice locations: Winthrop, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Okanogan Behavioral HealthcareGroup PAC ID 6204828320, 11 clinicians

Practice addresses (Care Compare)

1007 Koala Dr
Omak, WA 98841-9247
Phone (509) 826-6191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Community Counseling Center CurrentSince Apr 17, 2019 Accepting new patients
Okanogan Behavioral Healthcare CurrentSince Sep 8, 2025 Accepting new patients
Mindcare Solutions of Texas PA CurrentSince Sep 8, 2025 Accepting new patients
Madrona Institute of Washington PastSince Apr 17, 2019 Accepting new patients

Locations

1007 Koala Dr
Omak, WA 98841
Phone (509) 826-8409

884 W Park Ave
Port Townsend, WA 98368

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/discoverybh/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1700349461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 W PARK AVE",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682273",
            "telephone_number": "360-385-0321",
            "fax_number": "360-379-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WEST PARK AVE",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "98368",
            "telephone_number": "360-385-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONNFELDT",
        "first_name": "KELLE",
        "middle_name": "GAYELENA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60948498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

Verify at the official NPI Registry.