Kelly P Grenner, ARNP-FNP - Medicare Nurse Practitioner in Bothell, WA

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Kelly P Grenner, ARNP-FNP is a medicare enrolled "Nurse Practitioner - Family" in Bothell, Washington. Her current practice location is 10025 Ne 186th St, Bothell, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 486-9131.

Kelly P Grenner is licensed to practice in Washington (license number AP61085959) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003424128.

Contact Information

Kelly P Grenner, ARNP-FNP
10025 Ne 186th St,
Bothell, WA 98011-3839
(425) 486-9131
(425) 486-9490

Map and Direction




Provider's Profile

Full NameKelly P Grenner
GenderFemale
SpecialityNurse Practitioner - Family
Location10025 Ne 186th St, Bothell, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003424128
  • Provider Enumeration Date: 07/14/2020
  • Last Update Date: 04/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5991116659
  • Enrollment ID: I20201201002555

Medical Identifiers

Medical identifiers for Kelly P Grenner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003424128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP61085959 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly P Grenner allows following entities to bill medicare on her behalf.
Entity NameKing County Public Hospital District No 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801986070
PECOS PAC ID: 7618880097
Enrollment ID: O20031111000557
Entity NameThe Polyclinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174594634
PECOS PAC ID: 2163328196
Enrollment ID: O20031210000788
Entity NameOptum Care Washington Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly P Grenner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly P Grenner, ARNP-FNP
22850 Ne 8th St Ste 103,
Sammamish, WA 98074-7256

Ph: (425) 898-0305		Kelly P Grenner, ARNP-FNP
10025 Ne 186th St,
Bothell, WA 98011-3839

Ph: (425) 486-9131

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.