Kellie Hergenrader
NPI 1447911540 · Physician Assistant · Port Townsend, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellie Hergenrader is a Physician Assistant provider in Port Townsend, WA (NPI 1447911540).
Provider details
- NPI number
- 1447911540
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 44 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 72 | 29 |
| Atorvastatin Calcium | 68 | 35 |
| Lisinopril | 58 | 27 |
| Omeprazole | 40 | 22 |
| Losartan Potassium | 36 | 13 |
| Sertraline Hcl | 36 | 13 |
| Hydrocodone/Acetaminophen |
Practice location
Mailing address
Additional practice locations (2)
- 1086 Canal DrGardnerville, NV 89410-6117Phone: (775) 781-8300
- 834 Sheridan StPort Townsend, WA 98368-2443Phone: (360) 385-2200
Registry dates
- Enumerated
- 2022-01-01
- Last updated
- 2024-04-16
- Certified
- 2024-04-16
Frequently asked questions
- What is Kellie Hergenrader's NPI number?
- Kellie Hergenrader's National Provider Identifier (NPI) is 1447911540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Hergenrader's specialty?
- Kellie Hergenrader is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kellie Hergenrader located?
- Kellie Hergenrader's practice location on file with NPPES is 915 Sheridan St, Port Townsend, WA 98368-2931.
- What is Kellie Hergenrader's phone number?
- The practice phone number listed in the NPPES registry for Kellie Hergenrader is (360) 385-4848.
- Does Kellie Hergenrader accept Medicare?
- Kellie Hergenrader is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellie Hergenrader's NPI active?
- Yes — Kellie Hergenrader's NPI (1447911540) is active in the NPPES registry as of the last update on 2024-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.