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Active NPI 1467548685 Individual Practitioner Female Practitioner

Kim Jennifer Herzog , PA-C

Physician Assistant • Everett, WA

Professional Overview & Biography Verified Profile Summary

Kim Herzog, PA-C is a registered healthcare professional specializing in Physician Assistant in Everett, WA. Practice services are available at 1001 N BROADWAY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 N Broadway
Suite A-3

Everett, WA 982011586

Telephone 4253170300
Fax 4253170303
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
145 Specialists

Practicing in Everett, WA (3774 Statewide)

Telehealth Adoption Rate
15.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 18 $214.10 $85.96
99213 Established patient office or other outpatient visit, typically 15 minutes
17 16 $139.20 $61.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
15 14 $302.40 $118.17

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10004579

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8384745 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Timothy Mcnamara

Internal Medicine - Nephrology

NPI 1003870023
Beth Aversa , ARNP

Nurse Practitioner

NPI 1033201009

Advanced Registered Nurse Practitioner

Judith Mcnamara , RN, BSN

Counselor - Mental Health

NPI 1033408109

Registered Nurse, Bachelor of Science in Nursing

Dan Miller , ARNP

Nurse Practitioner - Family

NPI 1134168164

Advanced Registered Nurse Practitioner

Sedigheh Dashtestani , ARNP-CNM

Advanced Practice Midwife

NPI 1215351911

ARNPCNM

Cheryl Crance , RD, CD

Dietitian, Registered

NPI 1265604169

Registered Dietitian, CD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2009

Registered at 1001 N BROADWAY, SUITE A-3, EVERETT, WA 982011586 (Tel: 4253170300)

📍
Updated Business Mailing Address February 24, 2009

Registered at 909 N BROADWAY, PBO, EVERETT, WA 982011409 (Tel: 4253170699)

👤
Provider Name / Credentials Updated February 24, 2009

Recorded as KIM HERZOG, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2009

Physician Assistant (License #PA10004579 in WA)

🟢
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467548685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: February 24, 2009
Sole Proprietor: No

Mailing Address

909 N Broadway, Pbo

Everett, WA 982011409

Phone: 4253170699

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.