KELSEY PEARSON (PA-C) – Surgical Physician Assistant, NPI 1194122002
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for KELSEY PEARSON (PA-C)
751 NE BLAKELY DR
STE 4020
ISSAQUAH, WA 980296201
Phone: (425) 313-7124
Fax: (425) 313-7072
Type: Location
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (773) 318-8243
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160825000342 | I | Physician Assistant | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 35 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 13 | $0 |
Insurance plans in this area (ZIP 98029)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Physician Assistant | WA | |
| - | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Hematology, Pathology | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | KS |
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