Active NPI
Kristen Erin Roberts, PA-C
- Surgical Physician Assistant
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA60917935
- Practice address
- 1500 Continental PL
Mount Vernon, WA 98273-4105 - Phone
- (360) 424-7041
- Fax
- (360) 424-2418
- NPI assigned
- Feb 6, 2019
- Last updated
- Mar 4, 2019
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA60917935 | WA | Primary |
Addresses
Primary practice location
1500 Continental PL
Mount Vernon, WA 98273-4105
Mailing address
805 Madison St Ste 901
Seattle, WA 98104-1172
Phone (206) 838-2585
Other practice location 1
1017 20th St
Anacortes, WA 98221-2505
Phone (360) 424-7041
Other practice location 2
2720 Commercial Ave
Anacortes, WA 98221-2734
Phone (360) 424-7041
Other practice location 3
1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone (360) 424-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121972 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17700 SE 272ND St
Covington, WA 98042-4951
Phone (253) 372-7030
202 N Division St
Auburn, WA 98001-4939
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
2720 Commercial Ave
Anacortes, WA 98221-2734
Phone (360) 299-1300
311 S L St
Tacoma, WA 98405-3720
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Surgical | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Surgical | Current | Accepting new patients |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
1017 20th St
Anacortes, WA 98221
Phone (360) 424-7041
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
2720 Commercial Ave
Anacortes, WA 98221
Phone (360) 299-1300
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1500 Continental Pl
Mount Vernon, WA 98273
Phone (360) 424-7041
1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
316 S K St
Tacoma, WA 98405
Phone (253) 403-1375
3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- kristen.roberts.p15@direct.proliance.nextgenshare.com
- kroberts563891@direct.multicare.org
Organizations & group practices 10
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Lopez Island Medical Clinic
- Rural Health Clinic/Center
- Lopez, WA
- NPI 1740203967
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba MultiCare Rockwood Clinic
- Internal Medicine Physician
- Spokane, WA
- NPI 1730687161
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
Surgical
-
dba Proliance Pacific Rim Orthopedic Surgeons
- Multi-Specialty Clinic/Center
- Bellingham, WA
- NPI 1801497995
Surgical
-
- Rural Health Clinic/Center
- Eastsound, WA
- NPI 1245827781
-
dba Fidalgo Medical Associates at Island Hospital
- Clinic/Center
- Anacortes, WA
- NPI 1356591077
-
dba Pacific Sports Medicine @ MultiCare
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Auburn Medical Center
- General Acute Care Hospital
- Auburn, WA
- NPI 1255327201
-
dba MultiCare Covington Medical Center
- General Acute Care Hospital
- Covington, WA
- NPI 1326564071
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1235694936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST STE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-838-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CONTINENTAL PL",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734105",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2418"
}
],
"practiceLocations": [
{
"address_1": "1017 20th St",
"address_purpose": "LOCATION",
"city": "Anacortes",
"state": "WA",
"postal_code": "982212505",
"country_code": "US",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2720 Commercial Ave",
"address_purpose": "LOCATION",
"city": "Anacortes",
"state": "WA",
"postal_code": "982212734",
"country_code": "US",
"telephone_number": "360-424-7041",
"fax_number": "360-424-2418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 S Laventure Rd",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982746033",
"country_code": "US",
"telephone_number": "360-424-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "KRISTEN",
"middle_name": "ERIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60917935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2121972",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.