Individual provider Active NPI

Kaelie Murray, FNP-BC

  • Nurse Practitioner
  • Clatskanie, OR
National Provider Identifier
1760864862
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202101535NP-PP Issued in OR
Practice address
401 SW Belair Dr
Clatskanie, OR 97016-7415
Phone
(503) 728-5088
NPI assigned
Jun 24, 2015
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 202101535NP-PP OR Primary
Family Nurse Practitioner 363LF0000X AP60677452 WA

Addresses

Primary practice location

401 SW Belair Dr
Clatskanie, OR 97016-7415

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-2395

Other identifiers 1

IdentifierTypeStateIssuer
2188145MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170504000762 WA Practitioner - Nurse Practitioner 6103103916
I20250826004156 OR Practitioner - Nurse Practitioner 6103103916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

Practice addresses (Care Compare)

401 SW Belair Dr
Clatskanie, OR 97016-7415
Phone (503) 728-5088

510 W 1St Ave
Toppenish, WA 98948-1564
Phone (509) 865-5600

589 NW 11TH St
Hermiston, OR 97838-6600
Phone (503) 567-1717

8935 SE Powell Blvd
Portland, OR 97266-1938
Phone (509) 865-6175

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Jul 10, 2025 Accepting new patients
Yakima Valley Farm Workers Clinic Current Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jul 10, 2025 Accepting new patients
Cowlitz Family Health Center PastSince Mar 25, 2017 Accepting new patients

Locations

2158 Exchange St
Ste 304
Astoria, OR 97103
Phone (503) 325-8315

589 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717

8935 SE Powell Blvd
Portland, OR 97266
Phone (503) 349-7864

Interoperability endpoints

  • Direct secure messaging: kmurray51892@yvfwc.direct-ci.com

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.

Hospital & facility affiliations 7

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1760864862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-865-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW BELAIR DR",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970167415",
            "telephone_number": "503-728-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KAELIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202101535NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60677452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2188145",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clatskanie, OR

Sources for this page

Verify at the official NPI Registry.