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Active NPI 1932285715 Individual Practitioner Male Practitioner

Kerry A Michaelis

Physician Assistant • Kettle Falls, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kerry Michaelis is a certified Physician Assistant practicing in Kettle Falls, WA. With approximately 31 years of clinical experience since graduating from Baylor College Of Medicine in 1995, Kerry Michaelis delivers high-quality medical care to the local community at 840 S MEYERS ST.

Kerry Michaelis is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, insertion of needle into vein for collection of blood sample, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

840 S Meyers St

Kettle Falls, WA 991417005

Telephone 5096857848
Fax 5096845817
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kettle Falls, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +9.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Kettle Falls, WA (3774 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Michaelis (31 Years) 31 Yrs
Kettle Falls Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81003 Automated urinalysis test
50 42 $9.00 $2.20
36415 Insertion of needle into vein for collection of blood sample
45 43 $16.00 $8.65
92250 Photography of the retina
18 13 $44.33 $16.91

Medical Specialties & State Licenses

CMS Verified: 2021-06-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10004334

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
8014474 (WA)
Commercial Insurance / Payer ID Internal Id-Motor Vehicle Id
294110

Hospital & Practice Group Affiliations

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Providence Health And Services Washington

840 S Meyers St, Kettle Falls, WA 991417005

Phone: 5096857848

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Michael Snook , MD

Family Medicine

NPI 1033107149

Doctor of Medicine (M.D.)

Dr. Barry Bacon , MD

Family Medicine

NPI 1053309146

Doctor of Medicine (M.D.)

Dr. Craig Wolfe , DO

Family Medicine

NPI 1053994640

Doctor of Osteopathic Medicine (D.O.)

NPI 1093163453

Doctor of Medicine (M.D.)

NPI 1093703100

Doctor of Medicine (M.D.)

NPI 1093703191

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2014

Registered at 840 S MEYERS ST, KETTLE FALLS, WA 991417005 (Tel: 5096857848)

📍
Updated Business Mailing Address October 28, 2014

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

👤
Provider Name / Credentials Updated October 28, 2014

Recorded as KERRY MICHAELIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2014

Physician Assistant (License #PA10004334 in WA)

🟢
Initial NPI Registration & Enumeration October 27, 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: 1932285715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: June 18, 2021
Sole Proprietor: No

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

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.