Kristine Kelley Ewing, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD.MD.00044447 Issued in WA

Practice address

6968 NE Enetai Lane
Suquamish, WA 98392-5147

Phone

(360) 394-1350

Fax

(360) 598-2783

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of California, San Diego School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suquamish TribalGroup PAC ID 3173975893, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Suquamish Tribal

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Suquamish, WA
  • NPI 1083747216

  TX

  Medicare reassignment Care Compare group NPD
• Suquamish Tribal

  • General Practice Physician
  • Suquamish, WA
  • NPI 1114674942

  Family Medicine

  NPD

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

• Commonspirit Washington Community Care

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609
  Care Compare affiliation

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1972589422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6968 NE ENETAI LN",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983929766",
            "telephone_number": "360-394-1350",
            "fax_number": "360-598-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6968 NE ENETAI LANE",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983925147",
            "telephone_number": "360-394-1350",
            "fax_number": "360-598-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWING",
        "first_name": "KRISTINE",
        "middle_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD.MD.00044447",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD.MD.00044447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098825",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Graham Burwell, CDPT
• Jenny L Carr, LMP
• Rebecca Carr
• Michele Diane Clayton-Kaster
• Rodney J Dwyer, LMP
• Jonathan Glover, MSW
• Anna Joy Gottlieb
• Susannah Margaret Hart Stephens, LICSW, SUDP
• Barbara L Hoffman, DNP, RN, CDE
• Grace Jones, AAS

• General Practice Physician in Suquamish, WA
• Providers in Suquamish, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.