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KATTY RAISOR ARNP
NPI 1104695485
Nurse Practitioner - Family in Rochester, WA

Active since December 27, 2023PECOS EnrolledAccepts Medicare Assignment
18313 PAULSON ST SW STE A, ROCHESTER, WA 98579(360) 827-8400(360) 273-7301 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katty Raisor Arnp NPPES

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

KATTY RAISOR ARNP (NPI 1104695485) is an individual family provider in Rochester, Washington, licensed in Washington (AP61511127) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104695485
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATTY RAISORCredential: ARNP
Location Address18313 PAULSON ST SW STE ARochester, WA 98579-9262
Mailing AddressPo Box 3360Portland, OR 97208-3360
Phone(360) 827-8400
Fax(360) 273-7301
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 27, 2023
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1104695485 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 · AP61511127
18313 PAULSON ST SW STE A, Rochester, WA 98579
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katty Raisor Arnp 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 ID9032553813
PECOS Enrollment IDI20240220003249
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.

Hospital Affiliations CMS Care Compare 2

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98579 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 4

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

SAMUEL SEOUK JOON KIM PHARMD
Pharmacist
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Thurston County (360) 827-8400
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Thurston County (360) 273-0735
MRS. SUSAN RENAE CARLTON ARNP
Nurse Practitioner (Family)
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Thurston County (360) 827-8400
DARREN MICHAEL NEALIS LICSW
Social Worker (Clinical)
18313 PAULSON ST SW STE A
ROCHESTER, WA 98579
Thurston County (360) 827-8400

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 Katty Raisor's NPI number?

The NPI number for Katty Raisor is 1104695485. It was assigned to this individual provider in the NPPES registry on December 27, 2023.

Where is Katty Raisor located?

Katty Raisor practices at 18313 Paulson St SW Ste A, Rochester, WA 98579. The listed phone number is (360) 827-8400.

What is Katty Raisor's specialty?

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

Is Katty Raisor enrolled in Medicare?

Yes. Katty Raisor 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 Katty Raisor accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Katty Raisor 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 Katty Raisor affiliated with any hospitals?

According to CMS data, Katty Raisor is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Katty Raisor was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.