KRISTINE ANN RAUDY (PA-C) – Medical Physician Assistant, NPI 1902299902
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for KRISTINE ANN RAUDY (PA-C)
4311 11TH AVE NE STE 200
MEDEX NORTHWEST
SEATTLE, WA 981056367
Phone: (206) 616-4001
Fax: (206) 616-3889
Type: Mailing
2115 NE WYATT CT STE 101
BEND, OR 977017679
Phone: (541) 323-6280
Fax: (541) 323-6288
Type: Location
4311 11th Ave NE Ste 200
MEDEX Northwest
Seattle, WA 981056367
Phone: (206) 616-4001
Fax: (206) 616-3889
Type: Location
3124 NW SHEVLIN MEADOW DRIVE
BEND, OR 97703
Phone: (907) 433-9040
Type: Mailing
2115 NE WYATT CT
SUITE 201
BEND, OR 97701
Phone: (541) 545-2400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Boston Scientific Corporation ($35).
Total Amount
$58
General + Research + Ownership
Payments
3
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $35 |
| Medtronic, Inc. | $23 |
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: 2017-06-13
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 |
|---|---|---|---|---|
| I20170613002748 | I | Physician Assistant | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Anesthesiology | OR | |
| Physician Assistant | AZ | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| - | NM | |
| - | OR | |
| Pain Management | MS | |
| Physical Medicine And Rehabilitation | ID |
Reviews
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