Crown Health - Medicare Primary Care in Kent, WA

Crown Health is a medicare enrolled primary clinic (Family Medicine) in Kent, Washington. The current practice location for Crown Health is 6811 S 204th St Ste 280, Kent, Washington. For appointments, you can reach them via phone at (888) 674-5871. The mailing address for Crown Health is 6811 S 204th St Ste 280, Kent, Washington and phone number is (888) 674-5871.

Crown Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750921193. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (888) 674-5871.

Contact Information

Crown Health
6811 S 204th St Ste 280
Kent
WA 98032-1352
(888) 674-5871
(206) 694-2291

Map and Direction


Primary Care Clinic Profile

Full NameCrown Health
SpecialityFamily Medicine
Location6811 S 204th St Ste 280, Kent, Washington
Authorized Official Name and PositionAmy M Warner (OWNER/NP)
Authorized Official Contact5592307064
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crown Health
6811 S 204th St Ste 280
Kent
WA 98032-1352

Ph: (888) 674-5871
Crown Health
6811 S 204th St Ste 280
Kent
WA 98032-1352

Ph: (888) 674-5871

NPI Details:

NPI Number1750921193
Provider Enumeration Date01/14/2020
Last Update Date08/12/2021

Medicare PECOS Information:

Medicare PECOS PAC ID1557790896
Medicare Enrollment IDO20200407002530

Medical Identifiers

Medical identifiers for Crown Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750921193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Crown Health acts as a billing entity for following providers:
Provider NameMary G Shelkey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447314802
PECOS PAC ID: 7416844691
Enrollment ID: I20040302001004
Provider NameMargaret R Adam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700812237
PECOS PAC ID: 9032105796
Enrollment ID: I20040420001760
Provider NameMary L Borgstadt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407828569
PECOS PAC ID: 6305885260
Enrollment ID: I20050429000272
Provider NameHelen M Schmidt
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1477654424
PECOS PAC ID: 9931149051
Enrollment ID: I20050509000604
Provider NameRaymond Joseph Hutson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851459986
PECOS PAC ID: 2365547510
Enrollment ID: I20070417000132
Provider NameDonna S Longpre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093836850
PECOS PAC ID: 3274609003
Enrollment ID: I20080902000597
Provider NameLeigh T Moseman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962849760
PECOS PAC ID: 4981846474
Enrollment ID: I20130813000482
Provider NameLaura Elizabeth Uhlmansiek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073945606
PECOS PAC ID: 1557584646
Enrollment ID: I20140516001835
Provider NameEdelweiss Von Maack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093128860
PECOS PAC ID: 1850515354
Enrollment ID: I20140623002115
Provider NameRebecca S Waggoner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144612508
PECOS PAC ID: 8123332962
Enrollment ID: I20150806011591
Provider NameChristopher Gia Duong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033586532
PECOS PAC ID: 7012225030
Enrollment ID: I20150924001522
Provider NameTamas Ungar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891040572
PECOS PAC ID: 2769792597
Enrollment ID: I20151106002373
Provider NameMariena Mears
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417325093
PECOS PAC ID: 4981983491
Enrollment ID: I20161123001826
Provider NameHaley Lynn Key
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134506660
PECOS PAC ID: 0446559967
Enrollment ID: I20170407000894
Provider NameBaby Nellie Tamayo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376081836
PECOS PAC ID: 1850668369
Enrollment ID: I20170602002175
Provider NameMichelle Marie Waldron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194064535
PECOS PAC ID: 8426366170
Enrollment ID: I20170614001185
Provider NameAmy Warner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972032845
PECOS PAC ID: 3072885375
Enrollment ID: I20170822001421
Provider NameRachel Elizabeth Laura Malof
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114420734
PECOS PAC ID: 4587927132
Enrollment ID: I20180412000045
Provider NameGuenever Nadine Parsley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609230333
PECOS PAC ID: 6507103116
Enrollment ID: I20190121000336
Provider NameMary A. Gumbo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962928861
PECOS PAC ID: 6800129982
Enrollment ID: I20190604002224
Provider NameCoreen J Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740236561
PECOS PAC ID: 0244240141
Enrollment ID: I20191119002908
Provider NameHarmony S Kroll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306487772
PECOS PAC ID: 6709219629
Enrollment ID: I20191209000205
Provider NameBriana Hodson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750929600
PECOS PAC ID: 9739514514
Enrollment ID: I20200124001857
Provider NameMuna I Osman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578031266
PECOS PAC ID: 0840627451
Enrollment ID: I20200220001197
Provider NameGibril Kargbo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609386440
PECOS PAC ID: 7416214564
Enrollment ID: I20200324001967
Provider NameAngelina Abrahamson Laforteza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952873515
PECOS PAC ID: 1355770637
Enrollment ID: I20200408000757
Provider NameSheridan Fitzgerald Reiger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518349174
PECOS PAC ID: 2567778434
Enrollment ID: I20200513002812
Provider NameChristina M Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386279149
PECOS PAC ID: 0446672851
Enrollment ID: I20200611002570
Provider NameRachel A Ferrari
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730703679
PECOS PAC ID: 9234556473
Enrollment ID: I20200902000798
Provider NameMichelle Ann Rorie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841802675
PECOS PAC ID: 5496173700
Enrollment ID: I20200918001444
Provider NameAzeb Negussie Zeleke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073135661
PECOS PAC ID: 1557781226
Enrollment ID: I20201019001259
Provider NameYanique Ricie N Yakam Azah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700485919
PECOS PAC ID: 7618389412
Enrollment ID: I20201221001451
Provider NameMiriam Neema Bagalwa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144812009
PECOS PAC ID: 2466869698
Enrollment ID: I20210405002144
Provider NameLori Crane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487245734
PECOS PAC ID: 1658788740
Enrollment ID: I20210408001311
Provider NameRamanjot Grewal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164015616
PECOS PAC ID: 4587073366
Enrollment ID: I20210506003010
Provider NameSarah Michelle Stein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003408063
PECOS PAC ID: 5698184133
Enrollment ID: I20210512002920
Provider NameRichanne F Cunningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548848328
PECOS PAC ID: 0143639633
Enrollment ID: I20210513001326
Provider NameJamie Cline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588247167
PECOS PAC ID: 8325448228
Enrollment ID: I20210615001459
Provider NameKatherine Rose Wiken
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083238745
PECOS PAC ID: 5092116285
Enrollment ID: I20210624003854
Provider NameTanya J Neely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760008908
PECOS PAC ID: 3476954686
Enrollment ID: I20210625000576
Provider NameStephanie N Schow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629686993
PECOS PAC ID: 7416355763
Enrollment ID: I20211018001546
Provider NameAlyssa A Ochsner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649949306
PECOS PAC ID: 1557759537
Enrollment ID: I20211025000360
Provider NameTackesha Tanesha Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487244711
PECOS PAC ID: 3173914397
Enrollment ID: I20211223001593
Provider NameSara Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659748028
PECOS PAC ID: 0446560304
Enrollment ID: I20220117000554
Provider NameSwapna Dutta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669133435
PECOS PAC ID: 2365834561
Enrollment ID: I20220120001867
Provider NameBabette Denaine Hairston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457987778
PECOS PAC ID: 2567854342
Enrollment ID: I20220128001317
Provider NameUyen N Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699432666
PECOS PAC ID: 8325431109
Enrollment ID: I20220201000396
Provider NameNicole Claire Brucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316696297
PECOS PAC ID: 8527447861
Enrollment ID: I20220616002783
Provider NameBrenda Michelle Mckenzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003551425
PECOS PAC ID: 8921481946
Enrollment ID: I20220823003912
Provider NameAnnie Lynda Houendjou Badjio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013635614
PECOS PAC ID: 7113303165
Enrollment ID: I20220929000364
Provider NameGagandeep Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639734700
PECOS PAC ID: 8224406160
Enrollment ID: I20221123002778
Provider NameAmber Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831812098
PECOS PAC ID: 4880063478
Enrollment ID: I20221202000926
Provider NameChristine Cavazos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922417971
PECOS PAC ID: 1557580560
Enrollment ID: I20221207001658
Provider NameKatharine Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598337180
PECOS PAC ID: 6507261534
Enrollment ID: I20221208002085
Provider NameEsther Spataro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619611415
PECOS PAC ID: 4688045735
Enrollment ID: I20230127000852
Provider NameConnie Chien
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093482937
PECOS PAC ID: 3476950643
Enrollment ID: I20230209001620
Provider NameJanet Gorham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265604557
PECOS PAC ID: 3971674490
Enrollment ID: I20230419000275
Provider NameThomas Norby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811994247
PECOS PAC ID: 9133133291
Enrollment ID: I20230502000741
Provider NameSheila O Lyons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902536741
PECOS PAC ID: 7113383324
Enrollment ID: I20230512002387
Provider NameAugusta Mantey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326642901
PECOS PAC ID: 1052778495
Enrollment ID: I20230531000977
Provider NameChristian Vanscherpenseel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255017836
PECOS PAC ID: 3375905078
Enrollment ID: I20230811002348
Provider NameAmy N Whitehouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124494984
PECOS PAC ID: 1456660307
Enrollment ID: I20230912002934
Provider NameEvgeniya Berger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891351334
PECOS PAC ID: 4880042100
Enrollment ID: I20231128001271
Provider NameTimothy K Puri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235458092
PECOS PAC ID: 8729261557
Enrollment ID: I20240307003358

Reviews and Comments


Family Medicine in Kent, WA

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Phone: 253-854-1181    Fax: 253-850-9620

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.