MEDICARE: KNEELEY ANNE BARTELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP70084764	WA
2	163W00000X	Registered Nurse	RN61041940	WA

General Provider Information

NPI Number	:	1851053086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KNEELEY ANNE BARTELS

Provider Business Mailing Address
First Line	:	107 S DIVISION ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-1510
Country	:	US
Telephone Number	:	509-838-4657
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 N CALISPEL ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2317
Country	:	US
Telephone Number	:	509-838-4651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2021
Last Update Date	:	01/19/2026

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Directions to “ KNEELEY ANNE BARTELS ” Practice Location

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