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

Kelly Charles Gerken, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1225551427

Kelly Charles Gerken, PHYSICIANASSISTANT is a Physician Assistant in Everett, Washington. Qualified in 2017, 9 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1717 13th St Ste 401
Everett, WA 98201-1621
Phone: (425) 297-6400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 4000 Cambridge St, Kansas City, KS 66160-5216 — (913) 588-1227
  • 2316 E Meyer Blvd, Kansas City, MO 64132-1136 — (816) 363-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61640108 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225551427
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Everett