Karin Holmes Bean, PA-C
Individual provider Active NPI Physician Assistant · Fort Riley, KS
NPI 1689756512 · NPPES record last updated Sep 28, 2022
Key facts
- NPI
- 1689756512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA60152443 (WA)
- Practice address
- 600 Caisson Hill Road
Fort Riley, KS 66442 - Phone
- (785) 239-7777
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of Washington
Practice addresses (Care Compare)
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
700 Lilly Rd NE
Olympia, WA 98506-5115
Phone (360) 923-7000
9505 S Steele St
Tacoma, WA 98444-1858
Phone (253) 597-6800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100608000123 | WA | Practitioner - Physician Assistant | 3375673031 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00896 | KS | MD | Physician Assistant |
| PA60152443 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current |
Accepting new patients |
Locations
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- kbean4145835@ghc.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60152443 | WA | Yes |
| Physician Assistant | 363A00000X | 15-00896 | KS |
Addresses
Primary practice location
600 Caisson Hill Road
Fort Riley, KS 66442
Mailing address
209 Martin Luther King Jr Way
Tacoma, WA 98405-4267
Phone (253) 596-3300
Other practice location 1
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
Other names
- Karin Holmes
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Fort Riley, KS
- Elliot L. Bass
- Prabhsimran Batra
- Richard Earl Baxter
- David Beach
- Brittney A Beall
- Stephen Bearman
- Mary Claire Beck
- Jonathan W Becker
- Daniel Beer
- Thomas Behar
All providers in Fort Riley, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.