Kelly P. Grenner, ARNP-FNP
NPI 1003424128ActiveIndividual· Nurse Practitioner, Family· Bothell, WA
Nurse Practitioner, Family (ARNP-FNP) with Optum Care Washington PLLC, practicing in Bothell, Washington. In 2024 Medicare paid $11,905 for 116 patients, and Part D covered 276 of their prescriptions, 88% of them generic.
Overview
| NPI | 1003424128 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP-FNP |
| Sole proprietor | No |
| NPI issued | Jul 14, 2020 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | Jul 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP61085959 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 116 |
|---|---|
| Services billed | 421 across 58 procedure codes |
| Paid by Medicare | $11,905 |
Part D prescriptions in 2024
| Prescriptions (claims) | 276 · 331 30-day fills |
|---|---|
| Patients | 171 |
| Total drug cost | $7,218 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Optum Care Washington PLLCEverett, WA · 683 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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