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Ms. Karee L. Ledeboer, ARNP

(104 Ratings)

Specializes in: General Surgery, Family Medicine and Otolaryngology (Ear, Nose, and Throat)

Professional interests include: tympanoplasty, myringoplasty, mucocele (mucous cyst), and more.

13414 East Mission Avenue
Spokane, WA 99216

(509) 624-2326

Ms. Karee L. Ledeboer, ARNP is a nurse in Spokane, WA specializing in general surgery, family medicine and otolaryngology (ear, nose, and throat). Ms. Karee L. Ledeboer, ARNP is affiliated with Providence and PROVIDENCE HEALTH AND SERVICES WASHINGTON.

Office Locations

Providence

13414 East Mission Avenue
Spokane, WA 99216

(509) 624-2326

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Some issues Ms. Karee L. Ledeboer, ARNP can help you with:

Thyroid Surgery

Thyroid surgery is a procedure to remove all or part of the thyroid gland. The thyroid is a small, butterfly-shaped gland in the lower neck that regulates the hormones that manage metabolism. Thyroid surgery, also known as thyroidectomy, treats thyroid disorders such as hyperthyroidism (overactive thyroid), hypothyroidism (underactive thyroid), goiters (noncancerous thyroid inflammation), and thyroid cancer. It may also be used to remove thyroid nodules or cysts that have a risk of becoming cancerous.

Both hypothyroidism and goiters are caused by an autoimmune reaction where the body produces antibodies that attack the thyroid cells for unknown reasons. The thyroid reacts by releasing too little or too much T3 and T4 thyroid hormones, impairing thyroid function and causing irregular metabolism. Goiters develop from the autoimmune reaction causing continued antibody damage to the thyroid over time. Thyroid goiters are large, swollen lumps that can be felt near the base of the neck. Obstructive goiters can cause pain, coughing, and abnormal breathing. Hypothyroidism may also be caused by iodine deficiency, as iodine is needed to produce thyroid hormones.

The exact cause of thyroid cancer and thyroid nodules or cysts is unknown. While thyroid cancer and thyroid nodules or cysts can occur in individuals with thyroid disorders, they are not associated with a malfunctioning thyroid.

Physicians may prescribe thyroid surgery if blood tests reveal patients' thyroid stimulating hormones (TSA) are outside of the acceptable range, indicating a malfunctioning thyroid. Thyroid biopsies (tissue samples) and tests for thyroid-attacking antibodies are also criteria for surgery.

An ENT or general surgeon performs thyroid surgery. While a patient is placed under anesthesia, the surgeon makes an incision at the center of the neck and removes the thyroid gland. Two alternative methods of thyroid surgery are transoral (incision through the mouth) and endoscopic, where a surgeon operates a video camera for live footage to help guide the removal process.

Thyroid surgery requires minimal aftercare. Most patients recover quickly and resume normal activities within a few days of surgery. However, thyroid surgery patients must take daily synthetic thyroid medication (levothyroxine) for life to replace their removed thyroid.

Tonsillectomy

Tonsillectomy is a surgical procedure to remove both tonsils and is most widely used to treat tonsillitis (tonsil inflammation), which occurs when the tonsils (two tissue glands in the back of the throat) become infected and enlarged. Sleep disorders such as snoring and sleep apnea are frequently caused by tonsilitis. Similar conditions that tonsillectomy may treat include recurring throat infections (6 or more per year) and obstructed breathing from enlarged tonsils that block the airway.

Tonsillectomies are usually performed on children; however, many adults also undergo the procedure. A tonsillectomy generally only lasts for about half an hour following the administration of anesthesia. The otolaryngologist (ENT) or surgeon performing a tonsillectomy may employ a variety of medical techniques, such as:

Cold Knife Dissection: A cold knife dissection is the most popular tonsil removal method. A surgeon removes the tonsils using a steel scalpel and repairs the region with sutures (stitches) or electrocautery (high heat) to stop bleeding. This technique is favored for those with obstructed breathing.
Electrocautery: Other tonsillectomy methods include a full tonsil removal by electrocautery, where the surgeon uses a high heat device to burn off the tonsils and cauterize the bleeding tissue. Electrocautery is more painful than cold knife dissection.
Harmonic Scalpel: A third technique is where the surgeon uses a harmonic scalpel (vibrating bladed device) to first cut off the tonsils, and then coagulate bleeding using the harmonic scalpel's heat and vibration. Harmonic scalpel is the most precise form of tonsillectomy.
Radiofrequency Ablation: To perform the radiofrequency ablation technique, the surgeon places small probes into the tonsil that transmit radiofrequency energy to the tonsil tissue. The delivered energy damages and scars the tonsils, gradually minimizing the tonsils' size. Unlike the other three methods, radiofrequency ablation is performed in-office with or without general anesthesia and has minimal recovery time. Patients can expect to return to daily activities nearly immediately and may receive radiofrequency ablation every few months. While radiofrequency ablation does reduce tonsil inflammation, it is not often prescribed to those with severe tonsillitis or breathing disorders.

Patients are typically able to return home shortly after having their tonsils removed. Tonsillectomy recovery time may range from around ten days to two weeks. During this time, it is common for patients to have a sore throat, neck pain, and a hoarse voice. Patients are advised to consume soft foods such as ice cream and applesauce to avoid further throat irritation. After recovering from tonsillectomy, many patients experience improved breathing, reduced irritation, and an overall improved quality of life.

Noteworthy Medicare Patient Procedures Performed by Ms. Karee L. Ledeboer, ARNP in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

impacted ear wax removal

In 2023, Ms. Karee L. Ledeboer, ARNP performed more impacted ear wax removal procedures for Medicare patients than 95% of providers in related specialties within Washington.

Top 10%

By Volume:

diagnostic flexible laryngoscopy

laryngoscopy

In 2023, Ms. Karee L. Ledeboer, ARNP performed more diagnostic flexible laryngoscopy, and laryngoscopy procedures for Medicare patients than 90% of providers in related specialties within Washington.

Top 25%

By Volume:

minimally invasive procedures

In 2012, Ms. Karee L. Ledeboer, ARNP performed more minimally invasive procedures procedures for Medicare patients than 75% of providers in related specialties within Washington.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2012 were ear procedures, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

doctor visit	274
ear procedures	110
laryngeal (voice box) procedures	25
minimally invasive procedures	25

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2013 were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and nosebleed treatment.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

doctor visit	631
ear procedures	256
laryngeal (voice box) procedures	65
minimally invasive procedures	65
nosebleed treatment	21

2013 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	223
Female	357

**Ethnicity**
Non-Hispanic White	553
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	202
From 75 to 84	183
85 and over	122
Less than 65	73

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2013

Hypertension	56
High Cholesterol	43
Stroke	5
Ischemic Heart Disease	27
Depression	16
Chronic Kidney Disease	13
Asthma	6
Osteoperosis	8
Atrial Fibrilation	14
Heart Failure	14
Chronic Obstructive Pulmonary Disease	15
Diabetes	24
Dementia	10
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2014 were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and nosebleed treatment.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

doctor visit	666
ear procedures	294
laryngeal (voice box) procedures	64
minimally invasive procedures	64
nosebleed treatment	18

2014 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	256
Female	347

**Ethnicity**
Non-Hispanic White	573
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	199
From 75 to 84	192
85 and over	144
Less than 65	68

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2014

Hypertension	53
High Cholesterol	41
Stroke	4
Ischemic Heart Disease	29
Depression	15
Chronic Kidney Disease	14
Asthma	5
Osteoperosis	8
Atrial Fibrilation	12
Heart Failure	12
Chronic Obstructive Pulmonary Disease	13
Diabetes	23
Dementia	9
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2015 were ear procedures, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

doctor visit	466
ear procedures	204
laryngeal (voice box) procedures	24
minimally invasive procedures	24

2015 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	382
Female	466

**Ethnicity**
Non-Hispanic White	794
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	292
From 75 to 84	274
85 and over	170
Less than 65	112

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2015

Hypertension	54
High Cholesterol	42
Stroke	5
Ischemic Heart Disease	24
Depression	21
Chronic Kidney Disease	14
Asthma	12
Osteoperosis	7
Atrial Fibrilation	11
Heart Failure	12
Chronic Obstructive Pulmonary Disease	12
Diabetes	22
Dementia	10
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2016 were ear procedures, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

doctor visit	323
ear procedures	123
laryngeal (voice box) procedures	29
minimally invasive procedures	29

2016 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	142
Female	154

**Ethnicity**
Non-Hispanic White	278
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	124
From 75 to 84	90
85 and over	52
Less than 65	30

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2016

Hypertension	54
High Cholesterol	46
Stroke	5
Ischemic Heart Disease	25
Depression	19
Chronic Kidney Disease	18
Asthma	16
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	22
Dementia	9
Cancer	10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2017 were ear procedures, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

doctor visit	365
ear procedures	97
laryngeal (voice box) procedures	34
minimally invasive procedures	34

2017 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	161
Female	166

**Ethnicity**
Non-Hispanic White	306
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	126
From 75 to 84	111
85 and over	49
Less than 65	41

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2017

Hypertension	53
High Cholesterol	39
Stroke	5
Ischemic Heart Disease	25
Depression	21
Chronic Kidney Disease	27
Asthma	6
Osteoperosis	13
Atrial Fibrilation	10
Heart Failure	9
Chronic Obstructive Pulmonary Disease	13
Diabetes	21
Dementia	11
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2018 were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and CT scan.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

CT scan	14
doctor visit	478
ear procedures	156
laryngeal (voice box) procedures	53
minimally invasive procedures	53

2018 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	206
Female	215

**Ethnicity**
Non-Hispanic White	398
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	172
From 75 to 84	135
85 and over	70
Less than 65	44

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2018

Hypertension	55
High Cholesterol	45
Stroke	3
Ischemic Heart Disease	25
Depression	21
Chronic Kidney Disease	20
Asthma	5
Osteoperosis	11
Atrial Fibrilation	12
Heart Failure	14
Chronic Obstructive Pulmonary Disease	10
Diabetes	22
Dementia	12
Cancer	8

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2019 were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and CT scan.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

CT scan	21
doctor visit	490
ear procedures	230
laryngeal (voice box) procedures	51
minimally invasive procedures	51

2019 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	217
Female	262

**Ethnicity**
Non-Hispanic White	449
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	213
From 75 to 84	145
85 and over	87
Less than 65	34

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2019

Hypertension	53
High Cholesterol	44
Stroke	4
Ischemic Heart Disease	24
Depression	22
Chronic Kidney Disease	23
Asthma	7
Osteoperosis	11
Atrial Fibrilation	8
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	20
Dementia	12
Cancer	9

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2020 were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and CT scan.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

CT scan	13
doctor visit	255
ear procedures	145
laryngeal (voice box) procedures	27
minimally invasive procedures	27

2020 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	130
Female	163

**Ethnicity**
Non-Hispanic White	271
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	114
From 75 to 84	92
85 and over	57
Less than 65	30

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2020

Hypertension	55
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	23
Depression	19
Chronic Kidney Disease	23
Asthma	6
Osteoperosis	15
Atrial Fibrilation	11
Heart Failure	14
Chronic Obstructive Pulmonary Disease	6
Diabetes	19
Dementia	13
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2021 were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and CT scan.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

CT scan	12
doctor visit	412
ear procedures	165
laryngeal (voice box) procedures	41
minimally invasive procedures	41

2021 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	184
Female	212

**Ethnicity**
Non-Hispanic White	364
Black	0
Hispanic	0
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	147
From 75 to 84	142
85 and over	69
Less than 65	38

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2021

Hypertension	55
High Cholesterol	45
Stroke	3
Ischemic Heart Disease	25
Depression	21
Chronic Kidney Disease	28
Asthma	7
Osteoperosis	13
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	8
Diabetes	20
Dementia	12
Cancer	8

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA during 2022 were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and CT scan.

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

CT scan	24
doctor visit	404
ear procedures	129
laryngeal (voice box) procedures	49
minimally invasive procedures	49

2022 Medicare Patient Data

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	177
Female	210

**Ethnicity**
Non-Hispanic White	367
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	147
From 75 to 84	129
85 and over	78
Less than 65	33

Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP in 2022

Hypertension	59
High Cholesterol	64
Stroke	7
Ischemic Heart Disease	17
Depression	19
Chronic Kidney Disease	23
Asthma	10
Osteoperosis	17
Atrial Fibrilation	17
Heart Failure	13
Chronic Obstructive Pulmonary Disease	14
Diabetes	20
Dementia	7
Cancer	12

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Ms. Karee L. Ledeboer, ARNP for Medicare patients.

The highest averages for the top procedures that Ms. Karee L. Ledeboer, ARNP treated as a nurse in Spokane, WA were ear procedures, minimally invasive procedures, laryngeal (voice box) procedures and nosebleed treatment.

CT scan	16
doctor visit	433
ear procedures	173
laryngeal (voice box) procedures	42
minimally invasive procedures	42
nosebleed treatment	19

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Ms. Karee L. Ledeboer, ARNP.

**Gender**
Male	188
Female	232

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	395
Native American / Alaskan Native	0
Hispanic	0
Other	1

**Age**
75 to 84	135
85 and over	81
Less than 65	45
65 to 74	157

Average of Total of Conditions of Medicare patients treated by Ms. Karee L. Ledeboer, ARNP From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Ms. Karee L. Ledeboer, ARNP treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	49
High Cholesterol	41
Stroke	3
Ischemic Heart Disease	22
Depression	17
Chronic Kidney Disease	18
Asthma	7
Osteoporosis	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	10
Diabetes	19
Atrial Fibrillation	10
Dementia	9
Cancer	8

Education & Training

She is certified by the American Academy of Nurse Practitioners Certification Board, Family Nurse Practitioner and has a state license in Washington.

Board Certification: American Academy of Nurse Practitioners Certification Board, Family Nurse Practitioner

Licensed In: Washington

Affiliations & Hospitals

Ms. Karee L. Ledeboer, ARNP is associated with these hospitals and organizations:

Providence

PROVIDENCE HEALTH AND SERVICES WASHINGTON

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Ms. Karee L. Ledeboer, ARNP appears to accept the following insurance providers: CIGNA PPO, CIGNA HMO, Molina Healthcare, TriWest, Medicare and First Choice PPO.

Insurance Accepted by Provider includes:

According to our sources, Ms. Karee L. Ledeboer, ARNP accepts the following insurance providers:

CIGNA PPO

CIGNA HMO

Molina Healthcare

TriWest

Medicare

First Choice PPO

Ratings & Reviews

Ms. Karee L. Ledeboer, ARNP has an exceptional overall rating with an average of 5.0 out of 5 stars based on 104 ratings. We collect ratings and reviews of Ms. Karee L. Ledeboer, ARNP from all over the web to help you find the right in Spokane, WA.

Overall Rating

(104 Ratings)

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Biography

Ms. Karee Ledeboer is a family medicine, general surgery, and otolaryngology (ear, nose, and throat) specialist in Spokane Valley, WA. Her areas of expertise include the following: neck abscess, otosclerosis, and throat abscess. Ms. Ledeboer has a 5.0 out of 5 star average patient rating. She seems to honor Molina Healthcare, Cigna, CIGNA Plans, and more. She is affiliated with Providence.