Individual provider Active NPI

Renell N Kumeh

  • Family Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1982247458
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201907993NP-PP Issued in OR
Practice address
11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444
Phone
(206) 823-1004
Fax
(206) 309-3319
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 896653 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95038783 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN250959 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 333592 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1063067 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61002878 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11044504 FL
Family Nurse Practitioner 363LF0000X AP61002878 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1032667 TX
Family Nurse Practitioner 363LF0000X 201907993NP-PP OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16529 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 203988 ND
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1001654-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201907993NP-PP OR

Addresses

Primary practice location

11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444

Mailing address

11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444
Phone (206) 823-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200323001819 OR Practitioner - Nurse Practitioner 3072941277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Outside inGroup PAC ID 9638256662, 12 clinicians
Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians

Practice addresses (Care Compare)

1132 SW 13TH Ave
Portland, OR 97205-1703
Phone (503) 535-3860

2355 State St
Suite 101
Salem, OR 97301-4541
Phone (415) 360-3348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16529CTMDProcedural Dermatology Physician
AP61002878WAMDFamily Nurse Practitioner
333592AZMDPsychiatric/Mental Health Nurse Practitioner
APN.1001654-NPCOMDPsychiatric/Mental Health Nurse Practitioner
NP1063067DCMDPsychiatric/Mental Health Nurse Practitioner
APRN11044504FLMDPsychiatric/Mental Health Nurse Practitioner
RN250959MAMDPsychiatric/Mental Health Nurse Practitioner
203988NDMDPsychiatric/Mental Health Nurse Practitioner
896653NVMDPsychiatric/Mental Health Nurse Practitioner
1032667TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daiya Healthcare PLLC CurrentSince Feb 14, 2020 Accepting new patients
Outside in CurrentSince Mar 1, 2023 Accepting new patients
Outside in Current Accepting new patients
Outside in CurrentSince Mar 1, 2023 Accepting new patients
Serenaissance LLC Current Accepting new patients
Outside in Family Medicine Past Accepting new patients

Locations

1132 SW 13th Ave
Portland, OR 97205
Phone (503) 535-3800

10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

707 S Grady Way
Ste 600
Renton, WA 98057
Phone (206) 257-2987

Interoperability endpoints

  • Direct secure messaging: rkumeh618925@direct.ochin.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1982247458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NE 33RD PL STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041444",
            "telephone_number": "206-823-1004",
            "fax_number": "206-309-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NE 33RD PL STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041444",
            "telephone_number": "206-823-1004",
            "fax_number": "206-309-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMEH",
        "first_name": "RENELL",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "896653",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038783",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN250959",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "333592",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1063067",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61002878",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11044504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61002878",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1032667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201907993NP-PP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "16529",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "203988",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1001654-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201907993NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.