Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ingrid Roundy, PA-C

Individual provider Physician Assistant · NPI 1295403715

Ingrid Roundy, PA-C is a Physician Assistant in Richland, Washington. Qualified in 2021, 5 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1100 Goethals Dr Ste B
Richland, WA 99352-3301
Phone: (509) 942-3080
Fax: (509) 942-3085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61157547 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1295403715
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022
Mailing address550 Gage Blvd Ste 101, Richland, WA 99352-9532

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Richland