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

Robin R Moore, PAC

Individual provider Physician Assistant · NPI 1174692347

Robin R Moore, PAC is a Physician Assistant in Bellevue, Washington. Qualified in 2003, 23 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
23
Licensed in
WA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

11511 NE 10th St
Bellevue, WA 98004-8578
Phone: (425) 502-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 9th Ave, Seattle, WA 98101-2756 — (206) 223-6600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10004528 (WA)

Record details

NPI number1174692347
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021
Mailing address11511 Ne 10th St, Bellevue, WA 98004-8578

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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