Kelle Gayelena Ronnfeldt, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Port Townsend, WA
NPI 1700349461 · NPPES record last updated Mar 10, 2022
Key facts
- NPI
- 1700349461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP60948498 (WA)
- Practice address
- 844 West Park Ave
Port Townsend, WA 98368 - Phone
- (360) 385-0321
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- 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 Healthcare
Practice addresses (Care Compare)
1007 Koala Dr
Omak, WA 98841-9247
Phone (509) 826-6191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190607002465 | WA | Practitioner - Nurse Practitioner | 8729311634 |
Reassigns benefits to 2 organizations Practice locations: Winthrop, WA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okanogan Behavioral Healthcare | Current |
Accepting new patients | |
| Jefferson Community Counseling Center | Current |
Accepting new patients | |
| Mindcare Solutions of Texas PA | Current |
Accepting new patients | |
| Madrona Institute of Washington | Past |
Accepting new patients |
Locations
1007 Koala Dr
Omak, WA 98841
Phone (509) 826-8409
884 W Park Ave
Port Townsend, WA 98368
Phone 3603850321201
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/discoverybh/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60948498 | WA | Yes |
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
Other providers in Port Townsend, WA
- Margaret Rodriquez-Yesberger
- Stephen Fredrick Roe
- Christopher Rollness
- Gary S Romjue
- Claire Smith Roney
- Carli R Rose
- Maureen Rose
- James Kimber Rotchford
- Julia A Rouse
- John Cavanaugh Rowe
All providers in Port Townsend, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.