Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa A Dahl

Individual provider Family Medicine Physician · NPI 1356808596

Carissa A Dahl is a Nurse Practitioner in Ellensburg, Washington. Qualified in 2018, 8 years ago. Practices with Kittitas County Public Hospital Dist 1, a 81-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2019
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Practice location Address checks out

716 E Manitoba Ave
Ellensburg, WA 98926-3842
Phone: (509) 933-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence AP60932540 (WA)

Record details

NPI number1356808596
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019
Mailing address716 E Manitoba Ave, Ellensburg, WA 98926-3842

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kittitas County Public Hospital Dist 1 — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ellensburg