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ROLIN ALAN PRUYN PA-C
NPI 1073940219
Physician Assistant - Medical in Kirkland, WA

Active since October 02, 2013PECOS EnrolledAccepts Medicare Assignment
12303 NE 130TH LN, SUITE 550, KIRKLAND, WA 98034(425) 899-6972(425) 899-6970 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rolin Alan Pruyn Pa-c NPPES

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

ROLIN ALAN PRUYN PA-C (NPI 1073940219) is an individual medical provider in Kirkland, Washington, licensed in Washington (PA60435739) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073940219
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameROLIN ALAN PRUYNCredential: PA-C
Location Address12303 NE 130TH LN, SUITE 550Kirkland, WA 98034-3099
Mailing Address12303 Ne 130th Ln, Suite 550Kirkland, WA 98034-3099 · (425) 899-6972 · Fax (425) 899-6970
Phone(425) 899-6972
Fax(425) 899-6970
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 2, 2013
Last NPPES UpdateOctober 31, 2016
✔ NPI 1073940219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA60435739
12303 NE 130TH LN, Kirkland, WA 98034
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rolin Alan Pruyn Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022232990
PECOS Enrollment IDI20150324001220
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.

Areas of Expertise CMS Part B claims 5

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.

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296
This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.
43 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers14 claims14 services$758.66 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
2 suppliers16 claims16 services$76.74 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers20 claims24 services$3.44 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$33.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers28 claims28 services$60.56 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$32.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MS. XUEMEI SU ARNP
Nurse Practitioner (Family)
12303 NE 130TH LN, STE400
KIRKLAND, WA 98034
King County (425) 899-4692
WAYNE L HILL MD
Specialist
12303 NE 130TH LN, SUITE 400
KIRKLAND, WA 98034
King County (425) 899-4000
DR. JOHN PAUL ISBELL M.D
Obstetrics & Gynecology
12303 NE 130TH LN, STE 400
KIRKLAND, WA 98034
King County (425) 899-4692
MS. CAROL ANN VERGA CNM, ARNP
Nurse Practitioner (Obstetrics & Gynecology)
12303 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
King County (425) 899-4455
LYNN DAVIDSON R.N.
Counselor
12303 NE 130TH LN, STE 420
KIRKLAND, WA 98034
King County (425) 899-6400
CHARLES H HEFFRON JR. M.D.
Obstetrics & Gynecology (Gynecology)
12303 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
King County (425) 899-6400
DR. SCOTT JACOB OSTRIKER PHARM.D.
Pharmacist (Pharmacotherapy)
12303 NE 130TH LN, SUITE120
KIRKLAND, WA 98034
King County (425) 899-3191
EVERGREEN NEUROLOGY CLINIC, PLLC
Psychiatry & Neurology (Neurology)
12303 NE 130TH LN, SUITE 325
KIRKLAND, WA 98034
King County (425) 822-1214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rolin Pruyn's NPI number?

The NPI number for Rolin Pruyn is 1073940219. It was assigned to this individual provider in the NPPES registry on October 2, 2013.

Where is Rolin Pruyn located?

Rolin Pruyn practices at 12303 NE 130th Ln Suite 550, Kirkland, WA 98034. The listed phone number is (425) 899-6972.

What is Rolin Pruyn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Rolin Pruyn enrolled in Medicare?

Yes. Rolin Pruyn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rolin Pruyn accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rolin Pruyn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rolin Pruyn affiliated with any hospitals?

According to CMS data, Rolin Pruyn is affiliated with Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Rolin Pruyn was last updated on October 31, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.