Kevin Barry Fitzgerald, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60427970 Issued in WA

Practice address

210 S 11TH Ave
Yakima, WA 98902-3293

Phone

(509) 495-1151

Fax

(509) 495-1151

NPI assigned

Jan 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Native Village of Eyak

  • Clinic/Center
  • Cordova, AK
  • NPI 1134471287
  NPD (past)

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1548565682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023293",
            "telephone_number": "509-495-1151",
            "fax_number": "509-495-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 11TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023293",
            "telephone_number": "509-495-1151",
            "fax_number": "509-495-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KEVIN",
        "middle_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60427970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040154",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0419110",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene M Fischer, LMP
• James W. Fischer, PHARMD.
• Tiffiny J Fisher, RN
• Brenda Fitchett-Sterling
• Jason Fitzgerald
• Ashley Sofia Flachner, DDS
• Ericka Flannigan
• Conswaylo Ann Fleek, CDPT
• Karla Grace Fleetwood, LMP
• Deniele Anna Fleming, MS,CDP

• Physician Assistant in Yakima, WA
• Providers in Yakima, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.