Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kerry A Michaelis

Physician Assistant • Kettle Falls, WA

Active NPI 1932285715 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

840 S Meyers St
Kettle Falls, WA 991417005

Call 5096857848 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

840 S Meyers St

Kettle Falls, WA 991417005

Telephone 5096857848
Fax 5096845817
Organization at the Same NPPES Address or Phone
Providence Health & Services Washington Facility NPI 1538413109

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Providence Health And Services Washington. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Baylor College Of Medicine

Graduation Year

1995

Medicare patients

113 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $804 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $742 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

6,519 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$132,365 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

31 years (graduated 1995)

CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kerry Michaelis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kerry Michaelis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kettle Falls and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.

Too few clinicians listed under Physician Assistant in Kettle Falls have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.

Too few clinicians listed under Physician Assistant in Kettle Falls have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.

Too few clinicians listed under Physician Assistant in Kettle Falls have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.

Too few clinicians listed under Physician Assistant in Kettle Falls have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.

Too few clinicians listed under Physician Assistant in Kettle Falls have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Physician Assistant with a practice address in Kettle Falls, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
81003 Automated urinalysis test
50 42 $9.00 $2.20
36415 Insertion of needle into vein for collection of blood sample
45 43 $16.00 $8.65
92250 Photography of the retina
18 13 $44.33 $16.91

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 333 24,770 $5,046.41 83
Losartan Potassium Losartan Potassium 218 17,587 $2,498.00 63
Amlodipine Besylate Amlodipine Besylate 208 15,587 $1,714.33 53
Lisinopril Lisinopril 140 10,707 $1,049.80 34
Omeprazole Omeprazole 127 7,950 $1,651.73 29
Metformin Hcl Metformin Hcl 116 7,402 $440.20 25
Tamsulosin Hcl Tamsulosin Hcl 105 8,148 $2,426.19 29
Levothyroxine Sodium Levothyroxine Sodium 102 8,368 $821.00 24
Gabapentin Gabapentin 78 5,794 $2,662.83 21
Albuterol Sulfate Hfa Albuterol Sulfate 72 1,726 $3,190.10 16
Allopurinol Allopurinol 71 4,588 $784.07 17
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 65 4,560 $671.61 16
Hydrochlorothiazide Hydrochlorothiazide 63 5,311 $252.44 19
Rosuvastatin Calcium Rosuvastatin Calcium 62 4,618 $1,267.53 17
Metformin Hcl Er Metformin Hcl 51 4,151 $358.97 15
Trazodone Hcl Trazodone Hcl 50 2,822 $256.20 11
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 48 970 $323.50 —
Januvia Sitagliptin Phosphate 46 1,663 $30,115.04 —
Sertraline Hcl Sertraline Hcl 43 2,421 $308.65 —
Pantoprazole Sodium Pantoprazole Sodium 40 2,481 $428.66 —
Alendronate Sodium Alendronate Sodium 39 3,132 $398.13 12
Glipizide Er Glipizide 39 2,714 $707.09 —
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 38 391 $393.17 36
Metoprolol Succinate Metoprolol Succinate 37 3,064 $604.22 —
Metoprolol Tartrate Metoprolol Tartrate 33 2,790 $276.38 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA10004334

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
8014474 (WA)
Other Identifier Internal Id-Motor Vehicle Id
294110

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20100330000476

Enrollment State Jurisdiction

WA

PECOS Control ID

0840326880

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Providence Health And Services Washington

840 S Meyers St, Kettle Falls, WA 991417005

Phone: 5096857848

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

23 listed
Dr. Barry Bacon , MD

Family Medicine

NPI 1053309146

Doctor of Medicine (M.D.)

Maureen Beardslee

Family Medicine

NPI 1801232301
NPI 1649607631

PHYSICIANASSISTANT

NPI 1275521379

Doctor of Osteopathic Medicine (D.O.)

NPI 1093163453

Doctor of Medicine (M.D.)

NPI 1629066733

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated October 27, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1932285715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: June 18, 2021
Sole Proprietor: No

Other Physician Assistants in Kettle Falls

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.