KATHRYN ELIZABETH DE ROSE
NPI 1053888529
Nurse Practitioner - Family in Olympia, WA

Q: What is Kathryn De Rose's NPI number?

The NPI number for Kathryn De Rose is 1053888529. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Q: What is Kathryn De Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn De Rose was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2018PECOS Enrolled

3920 CAPITAL MALL DR SW STE 200, OLYMPIA, WA 98502(360) 596-4899(360) 596-4889 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2019, Nov 1, 2018 (2 updates tracked since 2018).

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About Kathryn Elizabeth De Rose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN ELIZABETH DE ROSE (NPI 1053888529) is an individual family provider in Olympia, Washington, licensed in Washington (AP60911373) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053888529

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHRYN ELIZABETH DE ROSE

Location Address3920 CAPITAL MALL DR SW STE 200Olympia, WA 98502-8701

Mailing Address3920 Capital Mall Dr Sw Ste 200Olympia, WA 98502-8701 · (716) 725-5849

Phone(360) 596-4899

Fax(360) 596-4889

Sole ProprietorNo

Enumeration DateNovember 1, 2018

Last NPPES UpdateDecember 23, 20192 updates tracked since enumeration

✔ NPI 1053888529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP60911373

3920 CAPITAL MALL DR SW STE 200, Olympia, WA 98502

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Elizabeth De Rose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kathryn De Rose reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System

1.0 mi

Pediatrics

1920 BLACK LAKE BLVD SW
Olympia, WA 98512

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1831609775 (360) 534-9222

Capital Medical Center Physicians LLC

4.2 mi

Family Medicine

150 DENNIS ST SW # A
Tumwater, WA 98501

Reassigned Medicare billing, Washington enrollment
77 clinicians in this Medicare group

NPI 1568229540 (360) 754-6367

Dispatchhealth Washington PC

28 mi

Emergency Medicine

949 MARKET ST STE 602
Tacoma, WA 98402

Reassigned Medicare billing, Washington enrollment
120 clinicians in this Medicare group

NPI 1013490507 (253) 271-9720

Summit Consulting For Post Acute Care LLC

46 mi

Internal Medicine

1170 ALKI AVE SW APT 301
Seattle, WA 98116

Reassigned Medicare billing, Washington enrollment
23 clinicians in this Medicare group

NPI 1922585736 (206) 595-3383

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

50 services23 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

33 services32 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

23 services23 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

21 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services14 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS TUI AGAAPAPALAGI LAUILEFUE MD

Internal Medicine