Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kerry A Michaelis

Individual provider Physician Assistant · NPI 1932285715

Kerry A Michaelis is a Physician Assistant in Kettle Falls, Washington. Graduated from Baylor College of Medicine in 1995, 31 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
31
Trained at
Baylor College of Medicine
Licensed in
WA
In the registry since
2006
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Practice location Address checks out

840 S Meyers St
Kettle Falls, WA 99141-7005
Phone: (509) 685-7848
Fax: (509) 684-5817
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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 PA10004334 (WA)

Record details

NPI number1932285715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients113
Services billed 192 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Providence Mount Carmel Hospital Hospital · Colville, WA · listed as Providence Health & Services - Washington
  • Providence Holy Family Hospital Hospital · Spokane, WA

Colleagues at Providence Health and Services Washington

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 776 clinicians in the practice; 12 are shown here.

Other providers in Kettle Falls