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Kelly Charles Gerken, PHYSICIAN ASSISTANT

NPI 1225551427ActiveIndividual· Physician Assistant· Everett, WA

Physician Assistant (PHYSICIAN ASSISTANT) with Providence Health and Services- Washington, practicing in Everett, Washington. Medicare paid $1,941 for services to 26 patients in 2024. Lists Providence Regional Medical Center Everett and 2 other hospitals as hospital affiliations.

Overview

NPI1225551427
StatusActive
Entity typeIndividual
CredentialPHYSICIAN ASSISTANT
Sole proprietorNo
NPI issuedJul 19, 2017
Last updated in NPPESJun 19, 2025
Certified by providerJun 19, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA61640108WA
Physician Assistant363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (KS); Practitioner - Physician Assistant (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients26
Services billed26 across 5 procedure codes
Paid by Medicare$1,941

Medicare sources and data years

Education and affiliations

Graduation year2017
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Everett

All 146 physician assistants in Everett · All physician assistants in Washington