AMY Y KIM PA-C
NPI 1962807511
Physician Assistant - Medical in Everett, WA

NPI Status: Active since October 24, 2014

Contact Information

3927 RUCKER AVE
EVERETT, WA
ZIP 98201
Phone: (425) 339-5422

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 12
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About AMY KIM

This page provides the complete NPI Profile along with additional information for Amy Kim, a primary care provider established in Everett, Washington with a medical specialization in Physician Assistant, focusing in medical and more than 12 years of experience. She graduated from University Of Washington School Of Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1962807511 assigned on October 2014. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1962807511
Provider Name
AMY Y KIM PA-C
Gender
Female
Entity Type
Individual
Location Address
3927 RUCKER AVE EVERETT, WA 98201
Location Phone
(425) 339-5422
Mailing Address
PO BOX 5127 EVERETT, WA 98206
Mailing Phone
(425) 339-5422
Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
10-24-2014
Last Update Date
12-19-2014
Code Navigator

A primary care provider (PCP) like Amy Kim sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Silver 6200 Individual and Family Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Amy Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Amy Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3971826553

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150107000933, I20240918002561

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc

This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.

This service was performed 24 times for 24 patients

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r

This service involves the testing for COVID-19 using advanced technologies that can process multiple samples at once. It identifies different types or subtypes of the virus, including SARS-CoV-2/2019-nCoV. This test is non-CDC but adheres to the guidelines outlined in CMS-2020-01-R.

This service was performed 359 times for 332 patients

Bacterial colony count, urine

A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).

This service was performed 17 times for 17 patients

Blood test, basic group of blood chemicals (calcium, total)

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

This service was performed 12 times for 12 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

This service was performed 16 times for 16 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 20 times for 20 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 93 times for 93 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 17 times for 17 patients

Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within

This is a test to detect the COVID-19 virus. It uses a technique that amplifies the virus's genetic material (DNA or RNA) for detection. High throughput technologies are used for rapid and large-scale testing. The procedure is completed within a set time frame.

This service was performed 357 times for 330 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 33 times for 33 patients

Manual urinalysis test with examination using microscope, automated

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

This service was performed 21 times for 21 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 14 times for 14 patients

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes

This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.

This service was performed 17 times for 17 patients

Reviews for AMY Y KIM PA-C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962807511
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221601452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 6 + 0 + 1 + 4 + 5 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1962807511 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720076698 STEPHEN E. BERRY PT
Individual
Physical Therapist3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5419
1235194473 V EDWARD SAMSON
Individual
Internal Medicine (Gastroenterology)3927 RUCKER AVE
EVERETT, WA 98201
(425) 259-0966
1841369998 JEFFERY PARNALL
Individual
Physician Assistant3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5447
1861563025 ELLEN L SEIB
Individual
Registered Nurse (Registered Nurse First Assistant)3927 RUCKER AVE
EVERETT, WA 98201
(425) 259-0966
1003987009 KELLY L WHITEHILL
Individual
Clinical Nurse Specialist (Medical-Surgical)3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5480
1366514010DR. GABRIELLE COULON MD
Individual
Emergency Medicine3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5422
1679742837 SEAN J CRAMER PA-C
Individual
Physician Assistant3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5422
1952668618 BROOKE M MUZZY RNFA
Individual
Registered Nurse (Registered Nurse First Assistant)3927 RUCKER AVE
EVERETT, WA 98201
(425) 317-3950
1871582908DR. ARTI RAJVANSHI M.D.
Individual
Internal Medicine3927 RUCKER AVE
EVERETT, WA 98201
(425) 259-0966
1578534152 WILLIAM S PUTNAM MD
Individual
Internal Medicine (Gastroenterology)3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5421
1992760359 NICHOLAS MARASSI MD
Individual
Anesthesiology3927 RUCKER AVE
EVERETT, WA 98201
(425) 259-0966
1326003567 RICHARD RAFOTH MD
Individual
Internal Medicine (Gastroenterology)3927 RUCKER AVE
EVERETT, WA 98201
(425) 259-0966
1669437752 LARRY E BELL
Individual
Anesthesiology3927 RUCKER AVE
EVERETT, WA 98201
(425) 259-0966
1396700209 PHILIP N EVANS MD
Individual
Anesthesiology3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5480
1841256617 GEORGE COX MD
Individual
Internal Medicine (Gastroenterology)3927 RUCKER AVE
EVERETT, WA 98201
(425) 259-0966
1215995618 LONNY HECKER MD
Individual
Internal Medicine (Gastroenterology)3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5421
1265486062 BRADLEY D OLSON MD
Individual
Family Medicine3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5422
1285664805 WILLIAM C CONYERS MD
Individual
Family Medicine3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5422
1184640575DR. SEAN S LAGHAEIAN DPM
Individual
Podiatrist (Foot & Ankle Surgery)3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5407
1225058035DR. JESSICA LEA LUND DPM
Individual
Podiatrist (Foot Surgery)3927 RUCKER AVE
EVERETT, WA 98201
(425) 339-5407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962807511, enumerated in the NPI registry as an "individual" on October 24, 2014

The provider is located at 3927 Rucker Ave Everett, Wa 98201 and the phone number is (425) 339-5422

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 12 years of experience. She graduated from University Of Washington School Of Medicine in 2014.

The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r, Bacterial colony count, urine, Blood test, basic group of blood chemicals (calcium, total), Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within, Insertion of needle into vein for collection of blood sample, Manual urinalysis test with examination using microscope, automated, New patient office or other outpatient visit, 45-59 minutes and Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes.

This NPI record was last updated on October 24, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.