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

Kristen Marie Kicinski

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356041032

Kristen Marie Kicinski is a Nurse Practitioner in Olympia, Washington. Qualified in 2023, 3 years ago. Practices with Northwest Resources II, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

200 Lilly Rd NE Ste C
Olympia, WA 98506-5080
Phone: (360) 918-8336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61494885 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60662619 (WA)

Record details

NPI number1356041032
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

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 Northwest Resources Ii — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Olympia