Individual provider Active NPI

Katrina Roys, PA

  • Physician Assistant
  • Arlington, WA
National Provider Identifier
1992286181
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60901084 Issued in WA
Practice address
875 Wesley St Ste 250
Arlington, WA 98223-1668
Phone
(360) 435-2233
NPI assigned
Aug 24, 2018
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60901084 WA Primary

Addresses

Primary practice location

875 Wesley St Ste 250
Arlington, WA 98223-1668

Mailing address

875 Wesley St Ste 250
Arlington, WA 98223-1668
Phone (360) 435-2233

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190215000643 WA Practitioner - Physician Assistant 7012255110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4225 Hoyt Ave
Everett, WA 98203-2351

875 Wesley St
Suite 250
Arlington, WA 98223-1668
Phone (360) 435-2233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60901084WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Oct 18, 2018 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Oct 18, 2018 Accepting new patients
Western Washington Medical Group, Inc PS Past Accepting new patients

Locations

875 Wesley St
Ste 250
Arlington, WA 98223
Phone (360) 435-2233

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

Interoperability endpoints

  • Direct secure messaging: kroys726907@direct.multicare.org

Organizations & group practices 4

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 4

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1992286181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST STE 250",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231668",
            "telephone_number": "360-435-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST STE 250",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231668",
            "telephone_number": "360-435-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYS",
        "first_name": "KATRINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60901084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.