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Active NPI 1396541124 Individual Practitioner Female Practitioner

Kimberly Samuelson , FNP-C

Nurse Practitioner • Puyallup, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Samuelson, FNP-C is a certified Nurse Practitioner practicing in Puyallup, WA. With approximately 3 years of clinical experience since completing medical education in 2023, Kimberly Samuelson delivers high-quality medical care to the local community at 9909 168TH ST E STE 102.

Kimberly Samuelson is affiliated with Nordquist Integrated Medicine and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9909 168th St E Ste 102

Puyallup, WA 983752513

Telephone 2534453000
Associated Practice Facility / Clinic
🏢 Durable Medical Equipment Llc Facility NPI 1912522053

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Puyallup, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -2.7 yrs vs City Avg
City Avg: 5.7 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
57 Specialists

Practicing in Puyallup, WA (2339 Statewide)

Telehealth Adoption Rate
15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samuelson (3 Years) 3 Yrs
Puyallup Specialty Average (5.7 Years) 5.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-02-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA 61570680

(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.

Hospital & Practice Group Affiliations

Nordquist Integrated Medicine

9909 168th St E, Puyallup, WA 983752513

Phone: 2534453000

Practice Associates & Co-Workers

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

5 Associated Practitioners
Lee Tieu , LMP

Massage Therapist

NPI 1245695741

Licensed Massage Practitioner

Hannah Thayer , LMP

Massage Therapist

NPI 1346486271

Licensed Massage Practitioner

Amy Cleveland

Massage Therapist

NPI 1457881641
Kaila Standon , LMP MA

Massage Therapist

NPI 1578889606

LMPMA

NPI 1912922105

Doctor of Chiropractic

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2025

Registered at 9909 168TH ST E STE 102, PUYALLUP, WA 983752513 (Tel: 2534453000)

📍
Updated Business Mailing Address February 23, 2025

Registered at 9909 168TH ST E STE 102, PUYALLUP, WA 983752513 (Tel: 2534453000)

👤
Provider Name / Credentials Updated February 23, 2025

Recorded as KIMBERLY SAMUELSON, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2025

Nurse Practitioner (License #61570680 in WA)

🟢
Initial NPI Registration & Enumeration February 21, 2025

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: 1396541124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2025
Last Update: February 23, 2025
Sole Proprietor: No

Mailing Address

9909 168th St E Ste 102

Puyallup, WA 983752513

Phone: 2534453000

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.