Active NPI
Angela M Kline, PA-C
- Physician Assistant
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 70111806
- Practice address
- 1499 SE Tech Center PL Ste 190
Vancouver, WA 98683-5529 - Phone
- (360) 828-7802
- Fax
- (360) 326-2606
- NPI assigned
- Nov 17, 2006
- Last updated
- Jul 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 70111806 | WA | Primary |
Addresses
Primary practice location
1499 SE Tech Center PL Ste 190
Vancouver, WA 98683-5529
Mailing address
16420 SE McGillivray Blvd Ste 103
Vancouver, WA 98683-3599
Phone (360) 828-7802
Other practice location 1
8524 Steilacoom Blvd SW Ste 102B
Lakewood, WA 98498-4772
Phone (360) 828-7802
Other practice location 2
2621 NE 134th St Ste 200
Vancouver, WA 98686-3036
Phone (360) 828-7802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13917 Gold Cir
Omaha, NE 68144-2359
Phone (402) 991-9630
7655 Archer PL
Lincoln, NE 68516-5286
Phone (402) 413-9770
8524 Steilacoom Blvd SW
Suite 102B
Lakewood, WA 98498-4772
Phone (360) 828-7802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 844 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Phoenix Group PLLC | Current | Accepting new patients | |
| Omaha Insomnia and Psychiatric Services, LLC | Current | Accepting new patients | |
| Lutheran Family Services of NE, Inc | Past | Accepting new patients | |
| Alegent Health Immanuel Medical Center | Past | Accepting new patients | |
| Alegent Health Immanuel Medical Center | Past | Accepting new patients |
Locations
13917 Gold Cir
Omaha, NE 68144
Phone (402) 991-9630
8524 Steilacoom Blvd SW
Ste 102B
Lakewood, WA 98498
Phone (253) 237-3348
1499 SE Tech Center Pl
Ste 190
Vancouver, WA 98683
Phone (360) 773-6340
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Omaha, NE
- NPI 1477922318
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1508522350
-
dba Pacific Phoenix Psychiatry
- Psychiatry Physician
- Vancouver, WA
- NPI 1235765280
-
- Mental Health Counselor
- Omaha, NE
- NPI 1639121726
-
dba CHI Health Immanuel Rehabilitation Institute
- Rehabilitation Hospital Unit
- Omaha, NE
- NPI 1427133917
-
dba Alegent Health Immanuel Medical Center Outreach
- Cardiovascular Disease Physician
- Omaha, NE
- NPI 1912192907
-
- Addiction (Substance Use Disorder) Counselor
- Omaha, NE
- NPI 1154291656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1083788483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16420 SE MCGILLIVRAY BLVD STE 103",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986833599",
"telephone_number": "360-828-7802",
"fax_number": "360-326-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 SE TECH CENTER PL STE 190",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835529",
"telephone_number": "360-828-7802",
"fax_number": "360-326-2606"
}
],
"practiceLocations": [
{
"address_1": "8524 Steilacoom Blvd SW Ste 102B",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984984772",
"country_code": "US",
"telephone_number": "360-828-7802",
"fax_number": "360-326-2606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2621 NE 134th St Ste 200",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986863036",
"country_code": "US",
"telephone_number": "360-828-7802",
"fax_number": "360-326-2606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLINE",
"first_name": "ANGELA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "70111806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.