Individual provider Active NPI

Karen C Ely, FNP, ARNP

  • Family Nurse Practitioner
  • Ellensburg, WA
National Provider Identifier
1811297401
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60196761 Issued in WA
Practice address
700 E Mountain View Ave Ste 503
Ellensburg, WA 98926-4802
Phone
(509) 856-7589
Fax
(509) 962-1054
NPI assigned
Oct 28, 2010
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP60196761 WA
Family Nurse Practitioner 363LF0000X AP60196761 WA Primary
Emergency Registered Nurse 163WE0003X RN000144555 WA

Addresses

Primary practice location

700 E Mountain View Ave Ste 503
Ellensburg, WA 98926-4802

Mailing address

780 Harold Rd
Ellensburg, WA 98926-8688
Phone (509) 856-7589

Other names 1

  • KC Ely Professional 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
I20110307000102 WA Practitioner - Nurse Practitioner 8729260195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Washington State University Elson S Floyd College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 E Mountain View Ave
Suite 503
Ellensburg, WA 98926-4802
Phone (509) 856-7589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN000144555WAMDEmergency Registered Nurse
AP60196761WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Dermatology Plus LLC CurrentSince Feb 25, 2024 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 19, 2011 Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Jan 19, 2011 Accepting new patients

Locations

700 E Mountain View Ave
Ste 503
Ellensburg, WA 98926
Phone (509) 306-9175

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Interoperability endpoints

  • Direct secure messaging: kcely@cascadedermplus.emadirect.md

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, 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": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1811297401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 HAROLD RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268688",
            "telephone_number": "509-856-7589",
            "fax_number": "509-962-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOUNTAIN VIEW AVE STE 503",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989264802",
            "telephone_number": "509-856-7589",
            "fax_number": "509-962-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "KAREN",
        "middle_name": "C",
        "credential": "FNP, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP60196761",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60196761",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WA",
            "license": "RN000144555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KC",
            "last_name": "ELY",
            "credential": "FNP ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.