Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin C Fitzgerald

Individual provider Surgical Physician Assistant · NPI 1174123939

Kaitlin C Fitzgerald is a Physician Assistant in Seattle, Washington. Qualified in 2020, 6 years ago. Practices with Overlake Medical Clinics LLC, a 426-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020
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Practice location Address checks out

325 9th Ave
Seattle, WA 98104-2420
Phone: (206) 520-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61139907 (WA)

Record details

NPI number1174123939
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2020
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022
Mailing addressPo Box 50095, Seattle, WA 98145-5095

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Overlake Medical Clinics Llc — 426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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