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

Kelsey Marie Eidem, DNP

Individual provider Nurse Practitioner · NPI 1295409852

Kelsey Marie Eidem, DNP is a Nurse Practitioner in Vancouver, Washington. Graduated from Washington State University Elson S Floyd College of Medicine in 2022, 4 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Trained at
Washington State University Elson S Floyd College of Medicine
Licensed in
WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

700 NE 87th Ave
Vancouver, WA 98664-4896
Phone: (360) 882-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61298949 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61298949 (WA)

Record details

NPI number1295409852
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023
Mailing address700 Ne 87th Ave, Vancouver, WA 98664-4896

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWASHINGTON STATE UNIVERSITY ELSON S FLOYD COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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