Active NPI
Kirby F. Meyer, PA-C
- Physician Assistant
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004198
- Practice address
- 19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748 - Phone
- (425) 563-1500
- Fax
- (425) 563-1501
- NPI assigned
- Feb 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10004198 | WA | |
| Physician Assistant | 363A00000X | PA10004198 | WA | Primary |
Addresses
Primary practice location
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Mailing address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019654 | Medicaid | WA |
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 |
|---|---|---|---|---|
| I20040903000376 | WA | Practitioner - Physician Assistant | 4183690878 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radia Inc P S
Practice addresses (Care Compare)
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000
12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800
21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 563-1500
500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700
700 Minor Ave
Seattle, WA 98104-2146
Phone (425) 563-1500
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
747 Broadway RM
Suite 404
Seattle, WA 98122-4379
Phone (206) 386-6000
751 NE Blakely Dr
Issaquah, WA 98029-6201
Hospital & facility affiliations
- Evergreenhealth Medical Center
- Overlake Hospital Medical Center & Clinics
- Swedish Issaquah
- Swedish Medical Center
- Swedish Medical Center / Cherry Hill
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Physician Assistant | Current | Accepting new patients |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Radia Inc P S | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Current | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409
3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
601 Broadway
Fl 6
Seattle, WA 98122
Phone (206) 633-8100
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
10452 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 307-7300
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
WA
-
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
WA
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Orthopaedic Surgery Physician
- Everett, WA
- NPI 1750320701
Physician Assistant
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1700045572
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1811969769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "KIRBY",
"middle_name": "F.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-05",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10004198",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019654",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.