Active NPI
Kimberlie Bishop, PA-C
- Physician Assistant
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60650983
- Practice address
- 7315 212TH St SW Ste 101/207
Edmonds, WA 98026-7610 - Phone
- (425) 775-9474
- Fax
- (425) 670-3554
- NPI assigned
- Aug 6, 2012
- 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 | PA60650983 | WA | Primary |
Addresses
Primary practice location
7315 212TH St SW Ste 101/207
Edmonds, WA 98026-7610
Mailing address
PO Box 741515
Los Angeles, CA 90074-1515
Phone (425) 775-9474
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161003001804 | WA | Practitioner - Physician Assistant | 4880981067 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virginia Mason Medical Center
Practice addresses (Care Compare)
1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600
33501 1St Way S
Federal Way, WA 98003-6208
Phone (253) 838-2400
7315 212TH St SW
Edmonds, WA 98026-7610
Phone (425) 775-9474
925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600
Hospital & facility affiliations
- Virginia Mason Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60650983 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients |
Locations
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
7315 212th St SW
Ste 101207
Edmonds, WA 98026
Phone (425) 775-9474
4201 Rucker Ave
Everett, WA 98203
Phone (425) 382-4000
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
Organizations & group practices 22
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.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
WA
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1700880291
-
- Psychiatry Physician
- Seattle, WA
- NPI 1124176904
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Seattle, WA
- NPI 1174164297
-
- Durable Medical Equipment & Medical Supplies
- Issaquah, WA
- NPI 1174662548
-
- Mobile Radiology Clinic/Center
- Seattle, WA
- NPI 1255577003
-
- Durable Medical Equipment & Medical Supplies
- Kirkland, WA
- NPI 1285772723
-
- Mobile Radiology Clinic/Center
- Seattle, WA
- NPI 1548406374
-
- Durable Medical Equipment & Medical Supplies
- Bellevue, WA
- NPI 1558400929
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": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1487901872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741515",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900741515",
"telephone_number": "425-775-9474",
"fax_number": "425-670-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 212TH ST SW STE 101/207",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267610",
"telephone_number": "425-775-9474",
"fax_number": "425-670-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "KIMBERLIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60650983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.