Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Jean Fusaro Warth, PA-C

Individual provider Physician Assistant · NPI 1497263438

Kimberly Jean Fusaro Warth, PA-C is a Physician Assistant in Everett, Washington. Qualified in 2017, 9 years ago. Practices with Fandm Healthcare, LLC, a 29-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
2018
Specialties on file
2
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

4201 Rucker Ave
Everett, WA 98203-2215
Phone: (425) 382-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 — (702) 877-5199
  • 630 N Fairview Dr, Tacoma, WA 98406-1015 — (253) 777-1423

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence PA61018533 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA61018533 (WA)

Record details

NPI number1497263438
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2018
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 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 Fandm Healthcare, Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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