Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kelly P Grenner , ARNP-FNP

Nurse Practitioner - Family โ€ข Bothell, WA

Active NPI 1003424128 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

10025 Ne 186th St
Bothell, WA 980113839

Call 4254869131 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10025 Ne 186th St

Bothell, WA 980113839

Telephone 4254869131
Fax 4254869490
Organization at the Same NPPES Address or Phone
Lakeshore Clinic Pllc Facility NPI 1841399870

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Sammamish, WA; Woodinville, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Optum Care Washington Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare patients

116 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $12,161 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $8,830 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

138 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,549 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kelly Grenner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kelly Grenner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bothell and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Nurse Practitioner - Family in Washington (2024, 1,472 clinicians with data). Median for this group: 237. Middle half: 98 to 476.

Too few clinicians listed under Nurse Practitioner - Family in Bothell have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Nurse Practitioner - Family in Washington (2024, 1,472 clinicians with data). Median for this group: $17,620. Middle half: $7,483 to $36,166.

Too few clinicians listed under Nurse Practitioner - Family in Bothell have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Nurse Practitioner - Family in Washington (2024, 1,472 clinicians with data). Median for this group: $12,308. Middle half: $5,375 to $26,244.

Too few clinicians listed under Nurse Practitioner - Family in Bothell have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Nurse Practitioner - Family in Washington (2024, 1,841 clinicians with data). Median for this group: 437. Middle half: 123 to 1,495.

Too few clinicians listed under Nurse Practitioner - Family in Bothell have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner - Family in Washington (2024, 1,841 clinicians with data). Median for this group: $23,222. Middle half: $2,128 to $126,204.

Too few clinicians listed under Nurse Practitioner - Family in Bothell have Medicare Part D data for 2024 to compare.

22 active clinicians are listed under Nurse Practitioner - Family with a practice address in Bothell, WA (3,783 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bothell

9.1% of these 22 clinicians have the CMS telehealth indicator.

22.7% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
84 84 $343.51 $109.85
36415 Insertion of needle into vein for collection of blood sample
26 24 $18.00 $8.65
80053 Blood test, comprehensive group of blood chemicals
22 22 $22.25 $10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
19 19 $17.50 $7.61
81001 Manual urinalysis test with examination using microscope, automated
12 12 $7.25 $3.11
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
12 12 $137.25 $50.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $481.84 $154.16

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Albuterol Sulfate Hfa Albuterol Sulfate 38 937 $912.67 34
Mupirocin Mupirocin 23 335 $267.68 23
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 23 144 $200.48 23
Prednisone Prednisone 19 91 $32.57 19
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 17 91 $66.35 17
Fluconazole Fluconazole 14 41 $69.20 13

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-23
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES WA AP61085959
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20201201002555

Enrollment State Jurisdiction

WA

PECOS Control ID

5991116659

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Optum Care Washington Pllc

4410 106th St Sw, Mukilteo, WA 982754700

Phone: 4254936000

Secondary Practice Locations

15424 Ne 160th St

Woodinville, WA 980728180

Phone: 2063511231

22850 Ne 8th St Ste 103

Sammamish, WA 980747256

Phone: 4258980305

15424 Ne 160th St

Woodinville, WA 980728180

Phone: 2063511231

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
NPI 1427022334

MDPS

NPI 1366498008

Doctor of Medicine (M.D.)

Dr. Sally Esser , MD

Family Medicine

NPI 1205889284

Doctor of Medicine (M.D.)

Dr. Jamie Ham , DO

Family Medicine

NPI 1811574122

Doctor of Osteopathic Medicine (D.O.)

NPI 1295781508

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Hur , MD

Family Medicine

NPI 1659717221

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Business Mailing Address July 23, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

๐Ÿ“
Updated Practice Location April 20, 2021

Registered at 10025 NE 186TH ST, BOTHELL, WA 980113839 (Tel: 4254869131)

๐Ÿ“
Updated Practice Location November 19, 2020

Registered at 22850 NE 8TH ST STE 103, SAMMAMISH, WA 980747256 (Tel: 4258991894)

๐Ÿ“
Updated Business Mailing Address November 19, 2020

Registered at 22850 NE 8TH ST STE 103, SAMMAMISH, WA 980747256 (Tel: 4258991894)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2020

Nurse Practitioner (license number reported to NPPES: WA AP61085959)

โœ…
NPI Profile Active July 14, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 14, 2020

Registered at 15424 NE 160TH ST, WOODINVILLE, WA 980728180 (Tel: 2063511231)

๐Ÿ“
Business Mailing Address (Initial Record) July 14, 2020

Registered at 15424 NE 160TH ST, WOODINVILLE, WA 980728180 (Tel: 2063511231)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 14, 2020

Recorded as KELLY GRENNER, ARNP-FNP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2020

Family Medicine (license number reported to NPPES: WA AP61085959)

๐ŸŸข
Initial NPI Registration & Enumeration July 14, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1003424128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2020
Last Update: July 23, 2026
Sole Proprietor: No

Other Nurse Practitioner - Family Specialists in Bothell

All Nurse Practitioner - Family Specialists in Bothell

More public profiles in Washington

Directory navigation, in NPI number order.

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.