Kenneth Wallenfelsz, ARNP
NPI 1457649998 · Family Nurse Practitioner · Ketchikan, AK
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Wallenfelsz, ARNP is a Family Nurse Practitioner provider in Ketchikan, AK (NPI 1457649998).
Provider details
- NPI number
- 1457649998
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- AP60207225 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
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
14 yrs in NPPES registry
- Profile completeness38% of score
100% 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.
Practice location
Mailing address
Additional practice locations (2)
- 834 Sheridan StPort Townsend, WA 98368-2443Phone: (360) 385-2200Fax: (360) 385-3095
- 1274 7th St Ste aPort Townsend, WA 98368-2404Phone: (360) 385-2204Fax: (360) 385-3095
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2024-12-16
- Certified
- 2024-12-16
Frequently asked questions
- What is Kenneth Wallenfelsz's NPI number?
- Kenneth Wallenfelsz's National Provider Identifier (NPI) is 1457649998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Wallenfelsz's specialty?
- Kenneth Wallenfelsz is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Wallenfelsz located?
- Kenneth Wallenfelsz's practice location on file with NPPES is 3528 Tongass Ave, Ketchikan, AK 99901-5635.
- What is Kenneth Wallenfelsz's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Wallenfelsz is (907) 220-4447.
- Does Kenneth Wallenfelsz accept Medicare?
- Kenneth Wallenfelsz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Wallenfelsz's NPI active?
- Yes — Kenneth Wallenfelsz's NPI (1457649998) is active in the NPPES registry as of the last update on 2024-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.