Individual provider Active NPI

Kimberly A Boyce, PA-C

  • Physician Assistant
  • Edmonds, WA
National Provider Identifier
1447464094
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60536597 Issued in WA
Practice address
21600 Highway 99 Ste 260
Edmonds, WA 98026-8049
Phone
(425) 774-2650
Fax
(425) 774-2643
NPI assigned
May 10, 2007
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60536597 WA Primary
Medical Physician Assistant 363AM0700X 1881 CO
Community Health Registered Nurse 163WC1500X PAC1881 CO

Addresses

Primary practice location

21600 Highway 99 Ste 260
Edmonds, WA 98026-8049

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (786) 530-3820

Other practice location 1

1700 13th St
Everett, WA 98201-1689
Phone (425) 404-5345

Other identifiers 1

IdentifierTypeStateIssuer
76727262MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kboyce971420@wm.providencedirect.org Direct

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
I20190208002850 WA Practitioner - Physician Assistant 6709053085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-3968

21600 Hwy 99
Suite 260
Edmonds, WA 98026-8049
Phone (425) 774-2650

900 Pacific Ave
Everett, WA 98201-4168

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAC1881COMDCommunity Health Registered Nurse
1881COMDPhysical Therapist
PA60536597WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Gastroenterology, PLLC CurrentSince Apr 6, 2026 Accepting new patients
Providence Health & Services- Washington CurrentSince Oct 22, 2018 Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Apr 6, 2026 Accepting new patients
Providence Health & Services-Washington CurrentSince Oct 22, 2018 Accepting new patients
Providence Health & Services-Washington CurrentSince Oct 22, 2018 Accepting new patients
Providence Health & Services-Wa CurrentSince Oct 22, 2018 Accepting new patients

Locations

21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Interoperability endpoints

  • FHIR API: https://7e6d65ac-543a-4d66-acb8-36b51c8c951c.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: kboyce971420@wm.providencedirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1447464094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "786-530-3820",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99 STE 260",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268049",
            "telephone_number": "425-774-2650",
            "fax_number": "425-774-2643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 13th St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011689",
            "country_code": "US",
            "telephone_number": "425-404-5345",
            "fax_number": "425-404-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60536597",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1881",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "PAC1881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76727262",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kboyce971420@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1700 13th St",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.