Candice Ketelsen, PA-C
NPI 1073040515ActiveIndividual· Physician Assistant· Ridgefield, WA
Physician Assistant (PA-C) with Legacy Salmon Creek Hospital and 2 other groups, practicing in Ridgefield, Washington. Their prescriptions cost Medicare Part D more than their services did: $36,168 for 773 claims, against $3,078 paid for services in 2024. Lists Gritman Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1073040515 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 15, 2017 |
| Last updated in NPPES | Jul 14, 2026 |
| Certified by provider | Jul 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60758102 | WA |
| Physician Assistant | 363A00000X | PA-1496 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ID); Practitioner - Physician Assistant (OR); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 82 across 33 procedure codes |
| Paid by Medicare | $3,078 |
Part D prescriptions in 2024
| Prescriptions (claims) | 773 · 1,076 30-day fills |
|---|---|
| Patients | 322 |
| Total drug cost | $36,168 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Legacy Salmon Creek HospitalPortland, OR · 301 clinicians
- Uptown Providers PCHillsboro, OR · 49 clinicians
- Gritman Medical Center IncMoscow, ID · 27 clinicians
Hospital affiliations
- Gritman Medical CenterMoscow, ID
- Legacy Salmon Creek Medical CenterVancouver, WA
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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