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Active NPI 1548565682 Individual Practitioner Male Practitioner

Kevin Barry Fitzgerald , PA-C

Physician Assistant • Yakima, WA

Professional Overview & Biography Verified Profile Summary

Kevin Fitzgerald, PA-C is a registered healthcare professional specializing in Physician Assistant in Yakima, WA. Practice services are available at 210 S 11TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 S 11th Ave

Yakima, WA 989023293

Telephone 5094951151
Fax 5094951151
Associated Practice Facility / Clinic
🏢 Ivory Denture Care, Inc. Facility NPI 1922164557

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Yakima, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
61 Specialists

Practicing in Yakima, WA (3774 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60427970

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
2040154 (WA)
Commercial Insurance / Payer ID Labor And Industries
0419110 (WA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Caolae Jones , DNP, ARNP, PMHNP

Nurse Practitioner - Family

NPI 1356866883

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner

Emily Stewart , PA

Physician Assistant - Surgical

NPI 1902225576

Physician Assistant

Dr. Isaac Brauner , DO

Family Medicine

NPI 1902244205

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 29, 2026

Registered at 210 S 11TH AVE, YAKIMA, WA 989023293 (Tel: 5094951151)

📍
Updated Business Mailing Address April 29, 2026

Registered at 210 S 11TH AVE, YAKIMA, WA 989023293 (Tel: 5094951151)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2026

Physician Assistant (License #PA60427970 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2020

Physician Assistant (License #2104 in AK)

📍
Updated Practice Location January 23, 2020

Registered at 915 WISCONSIN AVE, TIETON, WA 989479802 (Tel: 5096730044)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2020

Physician Assistant (License #PA60427970 in WA)

NPI Profile Active January 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2011

Registered at 415 5TH AVENUE, 966, NOME, AK 99762 (Tel: 9074434525)

📍
Updated Business Mailing Address January 21, 2011

Registered at 38555 ST. JOHN, CIR., PO BOX 1068, TALKEETNA, AK 99676 (Tel: 9077332704)

👤
Provider Name / Credentials Updated January 21, 2011

Recorded as KEVIN FITZGERALD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2011

Physician Assistant (License #2104 in AK)

🟢
Initial NPI Registration & Enumeration January 21, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1548565682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2011
Last Update: April 29, 2026
Sole Proprietor: No

Mailing Address

210 S 11th Ave

Yakima, WA 989023293

Phone: 5094951151

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.