NPIMap

Individual provider Active NPI

Katie Marie Miller Reitz

  • Medical Physician Assistant
  • Olympia, WA
National Provider Identifier
1629641634
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61531628 Issued in WA
Practice address
3620 Ensign Rd NE Ste B
Olympia, WA 98506-6957
Phone
(360) 884-0052
NPI assigned
Jul 19, 2021
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61531628 WA
Medical Physician Assistant 363AM0700X PA61531628 WA Primary

Addresses

Primary practice location

3620 Ensign Rd NE Ste B
Olympia, WA 98506-6957

Mailing address

1113 Blu Steele Way
Pineville, NC 28134-8638
Phone (443) 992-3642

Other practice location 1

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230622000002 SC Practitioner - Physician Assistant 0143688226 Reassigns benefits to 1 organization
I20240625001461 WA Practitioner - Physician Assistant 0143688226 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

800 Alder St
South Bend, WA 98586-4900
Phone (360) 875-4502

826 Alder St
South Bend, WA 98586-4900
Phone (360) 875-5526

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4809SCMDPhysical Therapist
PA61531628WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor County Public Hospital District No 1 CurrentSince Jul 1, 2024 Accepting new patients
Grays Harbor County Public Hospital District No. 1 CurrentSince Jul 1, 2024 Accepting new patients
Pacific County Hospital District 2 Multi-Specialty CurrentSince Jan 10, 2025 Accepting new patients
Public Hospital District No 1 of Mason County Wa Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Carolina Blood and Cancer Care Associates, P.a. Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Aug 1, 2024 Accepting new patients
Grays Harbor County Public Hospital District No 1 Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Public Hospital District No 1 of Mason County Multi-Specialty Past Accepting new patients

Locations

1583 Health Care Dr
Rock Hill, SC 29732
Phone (803) 329-7772

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

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.

Hospital & facility affiliations 10

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1629641634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 BLU STEELE WAY",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348638",
            "telephone_number": "443-992-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 ENSIGN RD NE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066957",
            "telephone_number": "360-884-0052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Main St",
            "address_purpose": "LOCATION",
            "city": "Elma",
            "state": "WA",
            "postal_code": "985419560",
            "country_code": "US",
            "telephone_number": "360-346-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITZ",
        "first_name": "KATIE MARIE",
        "middle_name": "MILLER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61531628",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61531628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.