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

Kimberly Samuelson, FNP-C

Individual provider Nurse Practitioner · NPI 1396541124

Kimberly Samuelson, FNP-C is a Nurse Practitioner in Puyallup, Washington. Qualified in 2023, 3 years ago. Practices with Nordquist Integrated Medicine, a 4-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9909 168th St E Ste 102
Puyallup, WA 98375-2513
Phone: (253) 445-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 61570680 (WA)

Record details

NPI number1396541124
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2025
Last updated in NPPESFebruary 23, 2025
Certification dateFebruary 23, 2025
Mailing address9909 168th St E Ste 102, Puyallup, WA 98375-2513

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nordquist Integrated Medicine — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup