Active NPI 1598216517 Individual Practitioner Male Practitioner

Gregory Thomas Kidwell , ARNP

Nurse Practitioner • Lacey, WA

Professional Overview & Biography Verified Profile Summary

Gregory Kidwell, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Lacey, WA. Practice services are available at 4800 COLLEGE ST SE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4800 College St Se

Lacey, WA 985034389

Telephone 3604862900

Associated Practice Facility / Clinic

🏢 Providence Health & Services - Washington Facility NPI 1467462952

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lacey, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.4 Yrs

State Avg: 11.0 Yrs

Regional Practice Density

18 Specialists

Practicing in Lacey, WA (2339 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	89	$331.00	$110.16
99213 Established patient office or other outpatient visit, typically 15 minutes	63	63	$233.00	$79.17
81003 Automated urinalysis test	30	27	$8.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	149	$266.00	$94.04
99213 Established patient office or other outpatient visit, typically 15 minutes	114	112	$184.00	$64.45
81003 Automated urinalysis test	50	49	$8.00	$2.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	31	31	$21.00	$7.37
36415 Insertion of needle into vein for collection of blood sample	30	29	$5.00	$2.97
80053 Blood test, comprehensive group of blood chemicals	22	22	$39.00	$10.46
J1885 Injection, ketorolac tromethamine, per 15 mg	21	11	$1.00	$0.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$264.00	$93.32
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$186.00	$65.94
85018 Blood count, hemoglobin	12	12	$8.00	$2.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$35.00	$12.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	184	$243.53	$88.73
99213 Established patient office or other outpatient visit, typically 15 minutes	103	103	$168.95	$61.13
81003 Automated urinalysis test	49	47	$6.57	$2.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$245.38	$88.50
36415 Insertion of needle into vein for collection of blood sample	19	18	$5.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	16	15	$39.00	$11.51
94640 Inhalation treatment for airway obstruction or sputum production	16	12	$41.75	$15.21
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$21.00	$7.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	134	$211.00	$88.09
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg	53	11	$1.00	$0.15
99213 Established patient office or other outpatient visit, typically 15 minutes	47	47	$143.00	$60.26
81003 Automated urinalysis test	29	29	$6.00	$2.71
94640 Inhalation treatment for airway obstruction or sputum production	13	11	$35.62	$14.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$212.08	$89.78
80047 Blood test, basic group of blood chemicals (calcium, ionized)	11	11	$27.55	$13.46
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$33.91	$13.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	91	$210.96	$88.32
99213 Established patient office or other outpatient visit, typically 15 minutes	88	87	$142.32	$60.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$84.27	$35.67
80047 Blood test, basic group of blood chemicals (calcium, ionized)	17	17	$23.00	$11.37
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$145.53	$58.92
81003 Automated urinalysis test	15	15	$6.00	$3.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$48.75	$20.39

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60897119

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. Juman Park , DPT

Physical Therapist

NPI 1073252284

Doctor of Physical Therapy

Dr. Abraham Jeon , DO

Family Medicine

NPI 1104232636

Doctor of Osteopathic Medicine (D.O.)

Dr. Grigoriy Rozenfeld , DO

Emergency Medicine

NPI 1114167293

Doctor of Osteopathic Medicine (D.O.)

Dr. Michaela De Groot , PT, DPT

Physical Therapist

NPI 1124674965

Physical Therapist, Doctor of Physical Therapy

Cara Bardwell , PA-C

Physician Assistant

NPI 1144621632

Physician Assistant (Certified)

Stephanie Dempsey , RN

Registered Nurse

NPI 1205705399

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location August 26, 2019

Registered at 4800 COLLEGE ST SE, LACEY, WA 985034389 (Tel: 3604862900)

📍

Updated Business Mailing Address August 26, 2019

Registered at PO BOX 3360, PORTLAND, OR 972083360

👤

Provider Name / Credentials Updated August 26, 2019

Recorded as GREGORY KIDWELL, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2019

Nurse Practitioner (License #AP60897119 in WA)

✅

NPI Profile Active October 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 14, 2016

Registered at 5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 871095900 (Tel: 5052321585)

📍

Updated Business Mailing Address October 14, 2016

Registered at 5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 871095900 (Tel: 5052321585)

👤

Provider Name / Credentials Updated October 14, 2016

Recorded as GREGORY KIDWELL, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2016

Nurse Practitioner (License #CNP-03056 in NM)

🟢

Initial NPI Registration & Enumeration October 14, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598216517

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 14, 2016

Last Update: August 26, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3360

Portland, OR 972083360

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.