Active NPI 1699000901 Individual Practitioner Female Practitioner

Chelane R Fackenthall , ARNP

Nurse Practitioner • Walla Walla, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Chelane Fackenthall, ARNP is a certified Nurse Practitioner practicing in Walla Walla, WA. With approximately 17 years of clinical experience since completing medical education in 2009, Chelane Fackenthall delivers high-quality medical care to the local community at 301 W POPLAR ST.

Chelane Fackenthall is affiliated with Providence Health And Services - Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, dialysis services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 W Poplar St
Suite 100

Walla Walla, WA 993622858

Telephone 5095225824

Fax 5095225738

Associated Practice Facility / Clinic

🏢 Kenneth H Z Isaacs Ps Facility NPI 1356302830

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Walla Walla, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +6.4 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 11.0 Yrs

Regional Practice Density

21 Specialists

Practicing in Walla Walla, WA (2339 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fackenthall (17 Years) 17 Yrs

Walla Walla Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	327	209	$391.00	$108.45
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	220	165	$46.00	$13.76
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	90	12	$1072.00	$294.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	31	$546.00	$152.61
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	34	12	$891.00	$244.94
G0008 Administration of influenza virus vaccine	24	24	$38.00	$32.37
90653 Vaccine for influenza for injection into muscle	24	24	$93.00	$81.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$670.00	$185.84
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$276.00	$77.19

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	339	226	$368.00	$107.94
90970 Dialysis services, per day, less than full month service (20 years or older)	328	13	$27.00	$7.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	47	$515.00	$147.94
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	31	31	$85.00	$75.81
G0008 Administration of influenza virus vaccine	31	31	$32.10	$26.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$632.00	$178.29
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	21	13	$840.00	$246.04

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	245	181	$341.00	$109.71
99213 Established patient office or other outpatient visit, typically 15 minutes	96	93	$242.00	$78.52
36415 Insertion of needle into vein for collection of blood sample	65	54	$5.00	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	36	$481.00	$152.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$590.00	$189.69
G0008 Administration of influenza virus vaccine	32	32	$30.00	$25.59
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$85.00	$70.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$446.00	$143.95
81003 Automated urinalysis test	17	16	$8.00	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	492	11	$24.00	$8.35
99213 Established patient office or other outpatient visit, typically 15 minutes	152	123	$233.00	$79.20
36415 Insertion of needle into vein for collection of blood sample	133	101	$5.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	79	$331.00	$111.43
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	61	15	$906.00	$309.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	59	$145.00	$48.81
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	51	12	$752.00	$252.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	41	$464.00	$156.93
81003 Automated urinalysis test	25	25	$8.00	$2.25
G0008 Administration of influenza virus vaccine	18	18	$30.00	$14.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$566.00	$191.69
90662 Influenza vaccine split virus, preservative free	16	16	$85.00	$65.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$429.00	$144.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	313	13	$20.00	$7.01
99213 Established patient office or other outpatient visit, typically 15 minutes	165	137	$184.00	$64.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	104	$266.00	$94.60
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	88	16	$702.00	$248.72
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	80	18	$590.00	$206.41
81003 Automated urinalysis test	63	62	$8.00	$2.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	35	$358.00	$126.92
99442 Telephone medical discussion with physician, 11-20 minutes	25	21	$184.00	$65.15
G0008 Administration of influenza virus vaccine	15	15	$30.00	$17.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$509.00	$180.32
90662 Influenza vaccine split virus, preservative free	14	14	$85.00	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	680	18	$19.00	$6.70
99213 Established patient office or other outpatient visit, typically 15 minutes	247	196	$182.00	$63.66
81003 Automated urinalysis test	222	159	$8.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	93	$266.00	$93.17
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	117	20	$698.00	$244.72
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	111	24	$586.00	$203.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	21	$357.00	$125.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$506.00	$177.63
G0008 Administration of influenza virus vaccine	14	14	$30.00	$16.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$403.00	$141.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	339	212	$8.00	$2.70
90970 Dialysis services, per day, less than full month service (20 years or older)	329	12	$18.00	$6.61
99213 Established patient office or other outpatient visit, typically 15 minutes	234	173	$171.00	$62.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	102	$253.00	$91.90
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	151	22	$666.00	$240.76
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	62	23	$561.00	$201.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	42	$341.00	$123.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$487.00	$169.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$387.00	$140.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	562	15	$18.00	$6.52
81003 Automated urinalysis test	331	194	$8.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	204	153	$171.00	$61.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	113	$252.00	$90.39
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	130	25	$666.00	$238.25
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	61	21	$559.00	$200.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$485.00	$173.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	17	$339.00	$122.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$385.00	$137.82

Medical Specialties & State Licenses

CMS Verified: 2021-05-18

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60111177

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WA RN00151745

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1699000901 (WA)

Medicaid State Provider ID

500616387 (OR)

Hospital & Practice Group Affiliations

Providence Health And Services - Washington

301 W Poplar St, Walla Walla, WA 993622800

Phone: 5098978300

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Mathias Stroemel , DO

Internal Medicine - Nephrology

NPI 1265446660

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Leach , MD

Internal Medicine - Nephrology

NPI 1417165382

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 20, 2012

Registered at 301 W POPLAR ST, SUITE 100, WALLA WALLA, WA 993622858 (Tel: 5095225824)

📍

Updated Business Mailing Address March 20, 2012

Registered at PO BOX 34439, SEATTLE, WA 981241439

👤

Provider Name / Credentials Updated March 20, 2012

Recorded as CHELANE FACKENTHALL, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2012

Registered Nurse (License #RN00151745 in WA)

🟢

Initial NPI Registration & Enumeration October 05, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699000901

Entity Type:

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

Enumeration Date: October 05, 2009

Last Update: May 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 34439

Seattle, WA 981241439

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.