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

Katelyn Rae Genova, PA-C

Individual provider Surgical Physician Assistant · NPI 1083206973

Katelyn Rae Genova, PA-C is a Physician Assistant in Puyallup, Washington. Qualified in 2020, 6 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2021
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

3801 5th St SE Ste 110
Puyallup, WA 98374-2106
Phone: (253) 845-9585
Fax: (253) 848-1126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61579562 (WA)

Record details

NPI number1083206973
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 11, 2021
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

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 Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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