| Kelsey Marie Cibicki, DNP | |
|
3020 S Union Ave, Tacoma, WA 98409-3317 | |
| (253) 844-4327 | |
| Not Available |
| Full Name | Kelsey Marie Cibicki |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 3020 S Union Ave, Tacoma, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891265088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60868432 (Washington) | Secondary |
| 363L00000X | Nurse Practitioner | AP60868432 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Washington Hospital | Wenatchee, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Medical Specialty Group | 2365838364 | 35 |
| Central Washington Health Services Association | 4880504596 | 657 |
| Pacific Medical Specialty Group | 2365838364 | 35 |
| Pacific Medical Specialty Group | 2365838364 | 35 |
| Central Washington Health Services Association | 4880504596 | 657 |
| Columbia Valley Community Health | 7113813874 | 57 |
| Entity Name | Central Washington Health Services Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
| Entity Name | Columbia Valley Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487650636 PECOS PAC ID: 7113813874 Enrollment ID: O20040227000599 |
| Entity Name | Wenatchee Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669719688 PECOS PAC ID: 9537309869 Enrollment ID: O20130716000034 |
| Entity Name | Pacific Medical Specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548911811 PECOS PAC ID: 2365838364 Enrollment ID: O20220330002418 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Marie Cibicki, DNP 917 Pacific Ave Ste 600, Tacoma, WA 98402-4437 Ph: (253) 844-4327 | Kelsey Marie Cibicki, DNP 3020 S Union Ave, Tacoma, WA 98409-3317 Ph: (253) 844-4327 |
Salome Odja Dockendorf, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728 | |
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751 | |
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493 | |
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 | |
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504 | |
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315 | |
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191 |