Katherine L Anderson, P. A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60892445 Issued in WA

Practice address

3015 Squalicum Pkwy Ste 180
Bellingham, WA 98225-1946

Phone

(360) 733-5733

Fax

(360) 733-1859

NPI assigned

Oct 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

88.81 of 100Reported as group

Quality

86.48

Promoting interoperability

100

Improvement activities

40

Cost

76.22

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katherineanderson@baaicps.allscriptsdirect.net

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.

• Peacehealth

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1356309553
  Medicare reassignment Care Compare group
• Bellingham Asthma Allergy Immunology Clinic PS

  • Allergy & Immunology Physician
  • Bellingham, WA
  • NPI 1174672281
  Medicare reassignment
• Peacehealth Medical Group - Sedro Woolley

  • Family Medicine Physician
  • Sedro Woolley, WA
  • NPI 1407283179
  Medicare reassignment
• Pacific Rim Headache Center

  • Physician Assistant
  • Anacortes, WA
  • NPI 1174822159
  NPD (past)
• Lovelace Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Albuquerque, NM
  • NPI 1932911351
  NPD (past)

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

• Peacehealth

  • Critical Access Hospital
  • Sedro Woolley, WA
  • NPI 1144664954
  Care Compare affiliation

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1609128990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY STE 180",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251946",
            "telephone_number": "360-733-5733",
            "fax_number": "360-733-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY STE 180",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251946",
            "telephone_number": "360-733-5733",
            "fax_number": "360-733-1859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2980 Squalicum Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251880",
            "country_code": "US",
            "telephone_number": "360-788-6112",
            "fax_number": "360-788-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "P. A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2012-0047",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60892445",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60892445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125322",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory J Anderson
• James Lucas Anderson, DD
• Jennevieve Moon Anderson, LMT
• Karla M Anderson, BS
• Kate Anderson, MFTA
• Kayla Janae Anderson, DPT
• Kiana Lee Anderson
• Kristen Anderson, LMT
• Leila Marilyn Anderson, OT
• Lindsay Nicole Anderson

• Medical Physician Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.