Active NPI 1770095432 Individual Practitioner Female Practitioner

Rachel M Roylance , PA

Physician Assistant • Longview, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Rachel Roylance, PA is a certified Physician Assistant practicing in Longview, WA. With approximately 9 years of clinical experience since completing medical education in 2017, Rachel Roylance delivers high-quality medical care to the local community at 1706 WASHINGTON WAY.

Rachel Roylance is affiliated with Kirkpatrick Family Care, Ps and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1706 Washington Way

Longview, WA 986322952

Telephone 3604239580

Fax 3604236230

Associated Practice Facility / Clinic

🏢 Kirkpatrick Family Care, Ps Facility NPI 1447286646

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longview, WA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +1.5 yrs vs City Avg

City Avg: 7.5 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

34 Specialists

Practicing in Longview, WA (3774 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roylance (9 Years) 9 Yrs

Longview Specialty Average (7.5 Years) 7.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	572	231	$198.24	$107.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	346	41	$2.00	$0.95
36415 Insertion of needle into vein for collection of blood sample	174	123	$12.00	$8.49
80053 Blood test, comprehensive group of blood chemicals	113	96	$26.04	$10.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	55	$47.35	$11.95
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	109	96	$21.32	$7.54
84443 Blood test, thyroid stimulating hormone (TSH)	100	92	$56.80	$16.38
83036 Hemoglobin A1C level	98	84	$36.23	$9.35
80061 Blood test, lipids (cholesterol and triglycerides)	95	89	$29.93	$12.86
82607 Cyanocobalamin (vitamin B-12) level	92	88	$53.12	$14.52
82306 Vitamin d-3 level	89	85	$93.20	$28.49
83735 Magnesium level	87	81	$14.70	$6.50
84439 Thyroxine (thyroid chemical), free	84	80	$31.28	$8.67
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	81	69	$22.00	$13.71
81000 Manual urinalysis test with examination using microscope, non-automated	40	35	$17.34	$3.94
J1885 Injection, ketorolac tromethamine, per 15 mg	40	28	$10.00	$0.66
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$162.51	$76.04
99497 Advance care planning, first 30 minutes	37	37	$140.00	$67.78
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	37	37	$52.65	$21.25
G0444 Annual depression screening, 5 to 15 minutes	33	33	$42.35	$15.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$200.53	$109.82
82728 Ferritin (blood protein) level	29	29	$42.53	$13.04
83540 Iron level	28	28	$14.55	$6.15
82570 Creatinine level to test for kidney function or muscle injury	25	23	$13.65	$5.08
83550 Iron binding capacity	25	25	$16.61	$8.23
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	22	14	$5.23	$1.29
82043 Urine microalbumin (protein) level	22	21	$16.80	$5.66
77080 Dxa bone density measurement of hip, pelvis, spine	13	12	$180.50	$33.35
71046 X-ray of chest, 2 views	13	13	$65.75	$27.25
72100 X-ray of lower and sacral spine, 2-3 views	12	11	$62.00	$34.34

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	726	296	$198.00	$106.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	268	31	$2.00	$1.09
36415 Insertion of needle into vein for collection of blood sample	174	129	$12.00	$8.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	120	105	$21.32	$7.55
80053 Blood test, comprehensive group of blood chemicals	119	105	$26.04	$10.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	117	53	$47.35	$12.05
83036 Hemoglobin A1C level	105	92	$36.23	$9.52
84443 Blood test, thyroid stimulating hormone (TSH)	103	95	$56.18	$16.46
82607 Cyanocobalamin (vitamin B-12) level	93	89	$53.12	$14.78
80061 Blood test, lipids (cholesterol and triglycerides)	92	89	$29.93	$13.12
83735 Magnesium level	89	84	$14.70	$6.57
82306 Vitamin d-3 level	88	84	$93.20	$29.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	56	$265.50	$148.86
84439 Thyroxine (thyroid chemical), free	65	61	$31.28	$8.84
81000 Manual urinalysis test with examination using microscope, non-automated	60	45	$17.34	$3.81
99213 Established patient office or other outpatient visit, typically 15 minutes	59	52	$162.51	$75.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	37	17	$5.23	$1.58
J1885 Injection, ketorolac tromethamine, per 15 mg	36	26	$10.00	$0.55
82043 Urine microalbumin (protein) level	22	22	$18.54	$5.66
82570 Creatinine level to test for kidney function or muscle injury	21	21	$13.65	$5.08
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$63.00	$18.92
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	18	18	$52.65	$20.78
99497 Advance care planning, first 30 minutes	18	18	$140.00	$69.29
71046 X-ray of chest, 2 views	17	16	$65.75	$29.20
69210 Removal of impacted ear wax	17	15	$74.12	$39.20
G0444 Annual depression screening, 5 to 15 minutes	17	17	$42.35	$14.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$270.75	$141.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$200.53	$102.74
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$62.00	$34.71
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	15	14	$18.69	$4.18
G0008 Administration of influenza virus vaccine	11	11	$35.00	$26.08

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	724	286	$198.00	$108.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	294	36	$2.00	$1.14
36415 Insertion of needle into vein for collection of blood sample	173	136	$12.00	$2.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	138	95	$265.50	$153.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	135	71	$47.35	$12.25
80053 Blood test, comprehensive group of blood chemicals	122	111	$26.04	$10.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	120	110	$21.32	$7.60
84443 Blood test, thyroid stimulating hormone (TSH)	108	103	$56.18	$16.27
84439 Thyroxine (thyroid chemical), free	100	96	$31.28	$8.81
83036 Hemoglobin A1C level	95	88	$36.23	$9.58
82607 Cyanocobalamin (vitamin B-12) level	95	91	$53.12	$14.88
82306 Vitamin d-3 level	93	92	$93.20	$29.21
83735 Magnesium level	92	87	$14.70	$6.54
80061 Blood test, lipids (cholesterol and triglycerides)	90	89	$29.93	$13.07
99213 Established patient office or other outpatient visit, typically 15 minutes	78	72	$162.51	$77.24
81000 Manual urinalysis test with examination using microscope, non-automated	59	52	$17.34	$3.97
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	48	32	$5.23	$1.70
J1885 Injection, ketorolac tromethamine, per 15 mg	45	30	$10.00	$0.56
99497 Advance care planning, first 30 minutes	35	35	$140.00	$71.85
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	35	35	$52.65	$22.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$200.53	$111.88
G0444 Annual depression screening, 5 to 15 minutes	31	31	$42.35	$15.85
69210 Removal of impacted ear wax	23	22	$70.00	$40.29
96127 Assessment of emotional or behavioral problems	19	12	$22.50	$4.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$248.88	$95.08
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$63.00	$19.07

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	606	207	$197.92	$109.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	257	33	$2.00	$1.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	146	59	$47.35	$12.18
36415 Insertion of needle into vein for collection of blood sample	137	101	$12.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	113	93	$162.51	$77.63
80053 Blood test, comprehensive group of blood chemicals	96	84	$26.04	$10.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	56	$265.50	$150.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	79	72	$21.32	$7.59
83036 Hemoglobin A1C level	73	64	$36.23	$9.47
84443 Blood test, thyroid stimulating hormone (TSH)	69	66	$56.18	$16.60
83735 Magnesium level	64	61	$14.70	$6.40
80061 Blood test, lipids (cholesterol and triglycerides)	63	61	$29.93	$13.00
84439 Thyroxine (thyroid chemical), free	56	56	$31.28	$8.73
82306 Vitamin d-3 level	55	54	$93.20	$28.08
J1885 Injection, ketorolac tromethamine, per 15 mg	43	27	$10.00	$0.53
82607 Cyanocobalamin (vitamin B-12) level	42	41	$53.12	$14.42
99497 Advance care planning, first 30 minutes	37	37	$140.00	$72.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	37	18	$5.23	$1.98
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	37	37	$52.65	$22.04
G0444 Annual depression screening, 5 to 15 minutes	36	36	$42.35	$15.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$200.53	$110.20
81000 Manual urinalysis test with examination using microscope, non-automated	29	23	$17.34	$4.02
69210 Removal of impacted ear wax	13	13	$70.00	$40.83
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	12	12	$65.00	$52.47
71046 X-ray of chest, 2 views	12	12	$65.75	$29.22

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	688	260	$197.43	$92.80
36415 Insertion of needle into vein for collection of blood sample	348	176	$12.00	$2.97
80053 Blood test, comprehensive group of blood chemicals	210	147	$26.04	$10.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	198	51	$47.35	$12.27
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	187	146	$21.32	$7.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	174	21	$2.00	$1.48
83036 Hemoglobin A1C level	168	121	$36.23	$9.55
84443 Blood test, thyroid stimulating hormone (TSH)	156	125	$56.18	$16.62
80061 Blood test, lipids (cholesterol and triglycerides)	144	129	$29.93	$13.08
82306 Vitamin d-3 level	123	111	$93.20	$29.26
83735 Magnesium level	114	94	$14.70	$6.58
99213 Established patient office or other outpatient visit, typically 15 minutes	98	79	$164.78	$64.57
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	86	86	$52.65	$22.46
99497 Advance care planning, first 30 minutes	86	86	$140.00	$73.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	83	83	$200.53	$99.01
G0444 Annual depression screening, 5 to 15 minutes	78	78	$42.35	$15.60
84439 Thyroxine (thyroid chemical), free	76	64	$31.28	$8.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	49	$265.50	$123.77
81000 Manual urinalysis test with examination using microscope, non-automated	70	48	$17.34	$4.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	61	20	$5.23	$2.01
82607 Cyanocobalamin (vitamin B-12) level	50	42	$53.12	$14.98
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	40	21	$1.50	$1.28
J1885 Injection, ketorolac tromethamine, per 15 mg	35	19	$10.00	$0.61
82043 Urine microalbumin (protein) level	34	31	$16.80	$5.73
82570 Creatinine level to test for kidney function or muscle injury	33	30	$13.65	$5.14
77080 Dxa bone density measurement of hip, pelvis, spine	32	32	$180.50	$34.14
80048 Blood test, basic group of blood chemicals (calcium, total)	31	19	$24.68	$8.42
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	29	27	$50.00	$35.50
96360 Infusion into a vein for hydration, 31-60 minutes	27	20	$88.15	$29.51
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	26	12	$150.23	$61.50
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	24	24	$35.00	$17.87
G0103 Prostate cancer screening; prostate specific antigen test (psa)	22	22	$63.00	$19.22
G0008 Administration of influenza virus vaccine	20	20	$35.00	$17.02
90653 Vaccine for influenza for injection into muscle	20	20	$55.00	$55.00
84403 Testosterone (hormone) level, total	18	15	$78.12	$25.54
84436 Thyroxine (thyroid chemical), total	18	18	$19.32	$6.80
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	17	17	$18.69	$4.25
80305 Testing for presence of drug, read by direct observation	15	15	$55.00	$11.71
69210 Removal of impacted ear wax	14	12	$70.00	$41.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	27,800	20	$0.08	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	612	239	$197.27	$91.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	294	29	$2.00	$1.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	273	61	$47.35	$14.19
36415 Insertion of needle into vein for collection of blood sample	228	141	$12.00	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	158	123	$21.32	$8.46
80053 Blood test, comprehensive group of blood chemicals	155	121	$26.04	$11.51
84443 Blood test, thyroid stimulating hormone (TSH)	131	110	$56.18	$18.04
83036 Hemoglobin A1C level	128	92	$36.23	$10.57
82306 Vitamin d-3 level	124	103	$93.20	$32.15
84439 Thyroxine (thyroid chemical), free	121	101	$31.28	$9.58
80061 Blood test, lipids (cholesterol and triglycerides)	117	104	$29.93	$14.58
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	97	27	$5.23	$1.79
83735 Magnesium level	95	90	$14.70	$7.21
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	81	39	$50.00	$35.37
99497 Advance care planning, first 30 minutes	75	74	$140.00	$72.05
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	74	74	$52.65	$22.22
G0442 Annual alcohol misuse screening, 5 to 15 minutes	73	73	$38.00	$15.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	70	47	$265.50	$123.87
G0444 Annual depression screening, 5 to 15 minutes	69	69	$42.35	$15.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$200.53	$98.73
82607 Cyanocobalamin (vitamin B-12) level	66	59	$53.12	$16.16
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$162.51	$63.22
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	20	$83.00	$58.53
84403 Testosterone (hormone) level, total	38	29	$78.12	$28.11
81000 Manual urinalysis test with examination using microscope, non-automated	37	32	$17.34	$3.94
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	32	32	$35.00	$17.69
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	28	13	$150.23	$61.40
G0103 Prostate cancer screening; prostate specific antigen test (psa)	23	23	$63.00	$20.03
G0008 Administration of influenza virus vaccine	22	21	$35.00	$16.68
90653 Vaccine for influenza for injection into muscle	21	20	$55.00	$53.87
71046 X-ray of chest, 2 views	20	20	$65.75	$27.03
77080 Dxa bone density measurement of hip, pelvis, spine	19	19	$180.50	$34.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	18	13	$121.25	$78.11
80305 Testing for presence of drug, read by direct observation	17	16	$55.00	$12.35
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	17	17	$65.00	$53.46
82043 Urine microalbumin (protein) level	15	15	$16.80	$6.29
82570 Creatinine level to test for kidney function or muscle injury	12	12	$13.65	$5.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	9,800	20	$0.08	$0.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	599	247	$197.45	$90.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	390	37	$2.00	$1.77
36415 Insertion of needle into vein for collection of blood sample	230	157	$12.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	187	143	$21.32	$9.36
80053 Blood test, comprehensive group of blood chemicals	184	143	$26.04	$12.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	184	70	$47.35	$17.25
84443 Blood test, thyroid stimulating hormone (TSH)	159	132	$56.18	$20.33
80061 Blood test, lipids (cholesterol and triglycerides)	133	123	$29.93	$16.20
83036 Hemoglobin A1C level	130	107	$36.23	$11.75
84439 Thyroxine (thyroid chemical), free	125	108	$31.28	$10.91
82306 Vitamin d-3 level	124	118	$93.20	$35.82
82607 Cyanocobalamin (vitamin B-12) level	109	104	$53.12	$18.24
G0442 Annual alcohol misuse screening, 5 to 15 minutes	88	88	$38.00	$15.19
83735 Magnesium level	87	81	$14.70	$8.10
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	86	86	$52.65	$21.19
99497 Advance care planning, first 30 minutes	85	85	$140.00	$69.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	77	34	$83.00	$58.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	76	29	$5.23	$1.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	48	$265.50	$120.95
G0444 Annual depression screening, 5 to 15 minutes	70	70	$42.35	$15.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$200.53	$97.54
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	52	22	$68.53	$37.39
81000 Manual urinalysis test with examination using microscope, non-automated	52	43	$17.34	$3.94
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	49	49	$65.00	$53.31
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$162.51	$61.51
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	45	33	$50.00	$35.32
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	39	11	$1.50	$1.27
G0103 Prostate cancer screening; prostate specific antigen test (psa)	37	37	$63.00	$22.26
84403 Testosterone (hormone) level, total	37	35	$78.12	$31.23
77080 Dxa bone density measurement of hip, pelvis, spine	31	31	$180.50	$35.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	31	18	$121.25	$74.88
96360 Infusion into a vein for hydration, 31-60 minutes	22	12	$88.15	$39.43
84436 Thyroxine (thyroid chemical), total	22	21	$19.32	$8.31
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$41.91	$14.30
80305 Testing for presence of drug, read by direct observation	21	19	$55.00	$13.19
69210 Removal of impacted ear wax	19	19	$70.00	$41.12
71046 X-ray of chest, 2 views	19	19	$64.96	$25.75
90653 Vaccine for influenza for injection into muscle	16	16	$53.44	$51.80
G0008 Administration of influenza virus vaccine	16	16	$35.00	$20.58
82570 Creatinine level to test for kidney function or muscle injury	15	14	$13.65	$6.26
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	15	15	$35.00	$19.25
82043 Urine microalbumin (protein) level	14	14	$16.80	$7.00
94640 Inhalation treatment for airway obstruction or sputum production	14	12	$35.75	$15.12
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	13	12	$18.69	$4.29
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	13	13	$88.00	$30.20
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$62.00	$29.52
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	12	12	$300.00	$153.15

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60800398

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.

Hospital & Practice Group Affiliations

Kirkpatrick Family Care, Ps

Po Box, Longview, WA 986327785

Kirkpatrick Family Care, Ps

1706 Washington Way, Longview, WA 986322952

Phone: 3604239580

Practice Associates & Co-Workers

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

8 Associated Practitioners

David Oliver , PA

Physician Assistant

NPI 1043217664

Physician Assistant

Karen Joiner , ARNP

Nurse Practitioner

NPI 1093791980

Advanced Registered Nurse Practitioner

Britta Fischer , PA-C

Physician Assistant

NPI 1336123462

Physician Assistant (Certified)

Dr. Gregory Khurtsidze , MD

Internal Medicine

NPI 1396721114

Doctor of Medicine (M.D.)

Dr. Elena Olsen , MD

Internal Medicine

NPI 1629209002

Doctor of Medicine (M.D.)

Georgia Sayles , ARNP

Nurse Practitioner

NPI 1730165622

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 02, 2017

Registered at 1706 WASHINGTON WAY, LONGVIEW, WA 986322952 (Tel: 3604239580)

📍

Updated Business Mailing Address November 02, 2017

Registered at PO BOX 1338, LONGVIEW, WA 986327785 (Tel: 3604239580)

👤

Provider Name / Credentials Updated November 02, 2017

Recorded as RACHEL ROYLANCE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2017

Physician Assistant (License #PA60800398 in WA)

🟢

Initial NPI Registration & Enumeration November 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1770095432

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 02, 2017

Last Update: November 02, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1338

Longview, WA 986327785

Phone: 3604239580

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.