Active NPI
Karsyn K. Suhadolnik, PA-C
- Surgical Physician Assistant
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA61653188
- Practice address
- 12911 120TH Ave NE Ste H210
Kirkland, WA 98034-3065 - Phone
- (425) 823-4000
- Fax
- (425) 821-3550
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA61653188 | WA | Primary |
Addresses
Primary practice location
12911 120TH Ave NE Ste H210
Kirkland, WA 98034-3065
Mailing address
12911 120TH Ave NE Ste G10
Kirkland, WA 98034-3048
Phone (425) 823-4000
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12911 120TH Ave NE
Suite H210
Kirkland, WA 98034-3065
Phone (425) 823-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61653188 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Surgical | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Surgical | Current | Accepting new patients |
Locations
12911 120th Ave NE
Ste G10
Kirkland, WA 98034
Phone (425) 481-6301
12911 120th Ave NE
Ste H210
Kirkland, WA 98034
Phone (425) 823-4000
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1972312684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE G10",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343048",
"telephone_number": "425-823-4000",
"fax_number": "425-821-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE H210",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343065",
"telephone_number": "425-823-4000",
"fax_number": "425-821-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUHADOLNIK",
"first_name": "KARSYN",
"middle_name": "K.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61653188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.