Kellie Christine Hergenrader
NPI 1447911540ActiveIndividual· Physician Assistant· Port Townsend, WA
Physician Assistant with Jefferson County Public Hospital District No 2, practicing in Port Townsend, Washington. Part D covered 1,455 prescriptions written in 2024, 90% of them generic. Lists Jefferson Healthcare and 1 other hospital as hospital affiliations.
Overview
| NPI | 1447911540 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 1, 2022 |
| Last updated in NPPES | Apr 16, 2024 |
| Certified by provider | Apr 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA61479777 | WA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,455 · 2,568 30-day fills |
|---|---|
| Patients | 442 |
| Total drug cost | $102,659 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Jefferson County Public Hospital District No 2Port Townsend, WA · 147 clinicians
Hospital affiliations
- Jefferson HealthcarePort Townsend, WA
- Olympic Medical CenterPort Angeles, 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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