Individual provider Active NPI

Katherine Rose Wiken, ARNP

  • Nurse Practitioner
  • Kirkland, WA
National Provider Identifier
1083238745
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61177342 Issued in WA
Practice address
12303 NE 130TH Lane, Coral 500
Kirkland, WA 98034
Phone
(425) 899-4280
Fax
(425) 899-4294
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60756278 WA
Nurse Practitioner 363L00000X AP61177342 WA Primary

Addresses

Primary practice location

12303 NE 130TH Lane, Coral 500
Kirkland, WA 98034

Mailing address

12303 NE 130TH LN Ste 500
Kirkland, WA 98034-3059
Phone (425) 899-4280

Other names 1

  • Katherine Evered Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624003854 WA Practitioner - Nurse Practitioner 5092116285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

12303 NE 130TH LN
Suite 550
Kirkland, WA 98034-3041
Phone (425) 899-3224

Hospital & facility affiliations

  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN60756278WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 CurrentSince Aug 1, 2022 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Aug 1, 2022 Accepting new patients
Bastion Health PC CurrentSince Jun 4, 2021 Accepting new patients

Locations

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

11521 NE 128th St
Ste 130
Kirkland, WA 98034
Phone (425) 899-4280

12303 NE 130th Ln
Ste 500
Kirkland, WA 98034
Phone (425) 899-4280

12303 NE 130th Ln
Ste 550
Kirkland, WA 98034
Phone (425) 899-3224

23745 225th Way SE
Ste 201
Maple Valley, WA 98038
Phone (425) 390-9425

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1083238745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN STE 500",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343059",
            "telephone_number": "425-899-4280",
            "fax_number": "425-899-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LANE, CORAL 500",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-899-4280",
            "fax_number": "425-899-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKEN",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60756278",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61177342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "EVERED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.