Katherine Newberg, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61249291 Issued in WA

Practice address

1173 Madison Ave N
Bainbridge Island, WA 98110-1782

Phone

(360) 377-3776

Fax

(877) 805-9505

NPI assigned

Dec 13, 2021

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chymiymattymd LLCGroup PAC ID 9133421597, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Chymiymattymd LLC

  dba Pacifica Medicine and Wellness

  • Family Medicine Physician
  • Poulsbo, WA
  • NPI 1982073235
  Medicare reassignment Care Compare group NPD
• Pacifica Medicine

  • Family Medicine Physician
  • Poulsbo, WA
  • NPI 1831563600
  NPD (past)

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

• Commonspirit Washington Community Care

  dba St Michael Medical Center

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609
  Care Compare affiliation

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1174282503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2940",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983702940",
            "telephone_number": "360-979-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 MADISON AVE N",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101782",
            "telephone_number": "360-377-3776",
            "fax_number": "877-805-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERG",
        "first_name": "KATHERINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61249291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Anthony Nelson, M.D.
• Vicki Gae Nelson, R.D.H.
• Kaitlin Jean Neste, DDS
• Marcus Craig Netherton, LMP
• New Motion Physical Therapy, Inc., PS
• Jennifer Ann Newman, M.D.
• Amelia Ellen Nicholls
• Marsha Novak, P.T.
• Deborah Nover, LMP
• Jeanene Marie Nover, MPT

• Family Nurse Practitioner in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.

Verify at the official NPI Registry.