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

Katty Raisor, ARNP

Individual provider Family Nurse Practitioner · NPI 1104695485

Katty Raisor, ARNP is a Nurse Practitioner in Rochester, Washington. Qualified in 2023, 3 years ago. Practices with Providence Health and Services - Washington, an 8-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

18313 Paulson St SW Ste A
Rochester, WA 98579-9262
Phone: (360) 827-8400
Fax: (360) 273-7301
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61511127 (WA)

Record details

NPI number1104695485
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedDecember 27, 2023
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing addressPo Box 3360, Portland, OR 97208-3360

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Providence Health And Services - Washington — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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