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Kenneth Hans Hermansen , RDN, CDCES

Dietitian, Registered β€’ Longview, WA

Active NPI 1558068791 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1044 11th Ave
Longview, WA 986322506

Call 3605758275 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

1044 11th Ave

Longview, WA 986322506

Telephone 3605758275
Fax 3603539440
Organization at the Same NPPES Address or Phone
Cowlitz Indian Tribe Facility NPI 1851328447

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

CMS Doctors and Clinicians lists 1 group name: The Vancouver Clinic Inc Ps. 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

2019

Medicare patients

29 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 – by Provider, 2024.

Medicare-allowed amount

About $2,383 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 – by Provider and Service, 2024.

Paid by Medicare

About $1,829 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 – by Provider and Service, 2024.

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 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

2023

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, β€œDoes your provider accept Medicare as full payment?”

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)

Kenneth Hermansen 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

Compared with the same specialty in Longview and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Dietitian, Registered in Washington (2024, 49 clinicians with data). Median for this group: 100. Middle half: 49 to 188.

Too few clinicians listed under Dietitian, Registered in Longview have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Dietitian, Registered in Washington (2024, 49 clinicians with data). Median for this group: $3,591. Middle half: $1,772 to $7,178.

Too few clinicians listed under Dietitian, Registered in Longview have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Dietitian, Registered in Washington (2024, 49 clinicians with data). Median for this group: $3,430. Middle half: $1,626 to $6,124.

Too few clinicians listed under Dietitian, Registered in Longview have Medicare Part B data for 2024 to compare.

26 active clinicians are listed under Dietitian, Registered with a practice address in Longview, WA (2,134 in Washington).

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

Telehealth indicator in Longview

0% of these 26 clinicians have the CMS telehealth indicator.

7.7% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B Β· Data Year 2024
HCPCS Code Services Patients Submitted Charge Medicare Allowed
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
44 20 $178.00 $54.17

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.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES WA DI61408612

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES KY 275943

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES UT 11870717-4901

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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 - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20250919001991

Enrollment State Jurisdiction

TX

PECOS Control ID

5092180984

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

The Vancouver Clinic Inc Ps

700 Ne 87th Ave, Vancouver, WA 986641913

Phone: 3608822778

Clinicians Sharing This Practice Address or Phone

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

6 listed
Edward Ebert , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1467690693

Psychiatric-Mental Health Nurse Practitioner

Jennifer Fresh , PMHNP, ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1760845853

Psychiatric-Mental Health Nurse Practitioner, Advanced Registered Nurse Practitioner

Elisabeth Hansen , FNP-C

Nurse Practitioner - Family

NPI 1356727069

Family Nurse Practitioner (Certified)

NPI 1770013005

Doctor of Medicine (M.D.), Master of Public Health

Lori Ryan , ARNP

Nurse Practitioner - Family

NPI 1023473352

Advanced Registered Nurse Practitioner

Dr. Tara Taylor , DNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1720637424

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location September 03, 2025

Registered at 1044 11TH AVE, LONGVIEW, WA 986322506 (Tel: 3605758275)

πŸ“
Updated Business Mailing Address September 03, 2025

Registered at PO BOX 2429, LONGVIEW, WA 986328486 (Tel: 3603539494)

πŸ‘€
Provider Name / Credentials Updated September 03, 2025

Recorded as KENNETH HERMANSEN, RDN, CDCES

πŸ“
Updated Practice Location April 04, 2023

Registered at 700 NE 87TH AVE, VANCOUVER, WA 986644896 (Tel: 3608822778)

πŸ“
Updated Business Mailing Address April 04, 2023

Registered at PO BOX 4825, PORTLAND, OR 972084825 (Tel: 3608822778)

βœ…
NPI Profile Active February 08, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 08, 2023

Registered at 771 E 550 S UNIT 303, AMERICAN FORK, UT 840033997 (Tel: 6615243905)

πŸ“
Business Mailing Address (Initial Record) February 08, 2023

Registered at 771 E 550 S UNIT 303, AMERICAN FORK, UT 840033997 (Tel: 6615243905)

πŸ‘€
Provider Name / Credentials (Initial Record) February 08, 2023

Recorded as KENNETH HERMANSEN, RDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2023

Dietitian, Registered (license number reported to NPPES: KY 275943)

🟒
Initial NPI Registration & Enumeration February 08, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558068791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2023
Last Update: September 03, 2025
Sole Proprietor: No

Mailing Address

Po Box 2429

Longview, WA 986328486

Phone: 3603539494

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.