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

Kelsey Gullickson

Individual provider Gerontology Nurse Practitioner · NPI 1467911800

Kelsey Gullickson is a Nurse Practitioner in Seattle, Washington. Qualified in 2018, 8 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

550 17th Ave Ste 540
Seattle, WA 98122-4470
Phone: (206) 386-3880
Fax: (206) 386-3882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60904899 (WA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP60904899 (WA)

Record details

NPI number1467911800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 15, 2019
Last updated in NPPESDecember 7, 2024
Certification dateDecember 7, 2024
Mailing addressPo Box 25608, Salt Lake City, UT 84125-0608

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 Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Seattle