Individual provider Active NPI

Kelsey Marie Cibicki, DNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1891265088
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60868432 Issued in WA
Practice address
3020 S Union Ave
Tacoma, WA 98409-3317
Phone
(253) 844-4327
NPI assigned
Nov 29, 2018
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 AP60868432 WA Primary
Family Nurse Practitioner 363LF0000X AP60868432 WA

Addresses

Primary practice location

3020 S Union Ave
Tacoma, WA 98409-3317

Mailing address

917 Pacific Ave Ste 600
Tacoma, WA 98402-4437
Phone (253) 844-4327

Other practice location 1

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Other practice location 2

940 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 662-6000

Other practice location 3

105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 662-6000

Other practice location 4

600 Orondo Ave
Wenatchee, WA 98801-2800
Phone (509) 662-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, AK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190227002806 WA Practitioner - Nurse Practitioner 2567701063 Reassigns benefits to 6 organizations
I20250528002243 OR Practitioner - Nurse Practitioner 2567701063 Reassigns benefits to 1 organization
I20250530003194 AK Practitioner - Nurse Practitioner 2567701063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Medical Specialty GroupGroup PAC ID 2365838364, 56 clinicians
Columbia Valley Community HealthGroup PAC ID 7113813874, shared by 6 NPIs, 64 clinicians

Practice addresses (Care Compare)

100 Highline Dr
E Wenatchee, WA 98802-5341
Phone (509) 663-8711

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

3020 S Union Ave
Tacoma, WA 98409-3317
Phone (253) 844-4327

303 Cottage Ave
Cashmere, WA 98815-1037
Phone (509) 663-8711

600 Orondo Ave
Wenatchee, WA 98801-2800

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

821 N St
Suite 102
Anchorage, AK 99501-3285
Phone (253) 844-4327

900 NE 27TH St
Bend, OR 97701-9548
Phone (253) 844-4327

933 Red Apple Rd
Wenatchee, WA 98801-3370
Phone (509) 663-8711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60868432WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Valley Community Health CurrentSince May 14, 2024 Accepting new patients
Pacific Medical Dialysis Services CurrentSince Jun 1, 2025 Accepting new patients
Columbia Valley Community Health CurrentSince May 14, 2024 Accepting new patients
Columbia Valley Community Health Current Accepting new patients
Pacific Medical Specialty Group CurrentSince Mar 14, 2025 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jan 1, 2019 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Platinum Peaks Healthcare PC CurrentSince Jul 19, 2025 Accepting new patients
Central Washington Health Services Association CurrentSince Jan 1, 2019 Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients

Locations

821 N St
Ste 102
Anchorage, AK 99501
Phone (253) 844-4327

900 NE 27th St
Bend, OR 97701
Phone (253) 844-4327

105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000

940 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000

3020 S Union Ave
Tacoma, WA 98409
Phone (253) 844-4327

917 Pacific Ave
Ste 100
Tacoma, WA 98402
Phone (253) 670-3099

917 Pacific Ave
Ste 600
Tacoma, WA 98402
Phone (253) 232-7495

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

600 Orondo Ave
Wenatchee, WA 98801
Phone (509) 662-3860

600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

Interoperability endpoints

  • Direct secure messaging: kcibicki32703@edirect.chehr.org
  • Direct secure messaging: kelsey.cibicki.1@10575.direct.athenahealth.com

Organizations & group practices 12

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 1

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1891265088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 PACIFIC AVE STE 600",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024437",
            "telephone_number": "253-844-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984093317",
            "telephone_number": "253-844-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 N Chelan Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012028",
            "country_code": "US",
            "telephone_number": "509-663-8711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "940 Eastmont Ave",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "988026602",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S Apple Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "988168810",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Orondo Ave",
            "address_purpose": "LOCATION",
            "city": "Wenatchee",
            "state": "WA",
            "postal_code": "988012800",
            "country_code": "US",
            "telephone_number": "509-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIBICKI",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60868432",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60868432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.