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

Kelly P Grenner, ARNP-FNP

Individual provider Family Nurse Practitioner · NPI 1003424128

Kelly P Grenner, ARNP-FNP is a Nurse Practitioner in Bothell, Washington. Qualified in 2020, 6 years ago. Practices with Optum Care Washington PLLC, a 685-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020
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Practice location Address checks out

10025 NE 186th St
Bothell, WA 98011-3839
Phone: (425) 486-9131
Fax: (425) 486-9490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 22850 Ne 8th St Ste 103, Sammamish, WA 98074-7256 — (425) 898-0305
  • 15424 Ne 160th St, Woodinville, WA 98072-8180 — (206) 351-1231
  • 15424 Ne 160th St, Woodinville, WA 98072-8180 — (206) 351-1231

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61085959 (WA)

Record details

NPI number1003424128
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-FNP
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bothell