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KALI MARIE THIBAULT PHYSICIAN ASSISTANT
NPI 1336758432
Physician Assistant in Lakewood, WA

Active since July 24, 2020PECOS EnrolledAccepts Medicare Assignment
11311 BRIDGEPORT WAY SW STE 309, LAKEWOOD, WA 98499(253) 985-2949(253) 985-2948 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2020, Jul 24, 2020 (2 updates tracked since 2020).

About Kali Marie Thibault Physician Assistant NPPES

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

KALI MARIE THIBAULT PHYSICIAN ASSISTANT (NPI 1336758432) is an individual physician assistant in Lakewood, Washington, licensed in Washington (PA61073932) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336758432
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKALI MARIE THIBAULTCredential: PHYSICIAN ASSISTANT
Location Address11311 BRIDGEPORT WAY SW STE 309Lakewood, WA 98499-3078
Mailing Address11311 Bridgeport Way Sw Ste 309Lakewood, WA 98499-3078 · (253) 985-2949 · Fax (253) 985-2948
Phone(253) 985-2949
Fax(253) 985-2948
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 24, 2020
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1336758432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA61073932
Definition
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.
11311 BRIDGEPORT WAY SW STE 309, Lakewood, WA 98499
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Other Identifiers 1

Medicaid2165926WA

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

Kali Marie Thibault Physician Assistant 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 ID3971929886
PECOS Enrollment IDI20200821001040
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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
88 services29 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.
79 services64 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
38 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services30 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
27 services26 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
26 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98499 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
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 6

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

MELISSA K BARNEY MD
Surgery
11311 BRIDGEPORT WAY SW STE 309
LAKEWOOD, WA 98499
Pierce County (253) 985-2733
MS. AMY ELIZABETH KUPPER MS
Psychologist (Clinical)
11311 BRIDGEPORT WAY SW STE 309
LAKEWOOD, WA 98499
Pierce County (253) 985-2949
EILEEN MARGARET NEWMARKER PA-C
Physician Assistant
11311 BRIDGEPORT WAY SW STE 309
LAKEWOOD, WA 98499
Pierce County (253) 985-2733
DAVID W TIMME MD
Otolaryngology
11311 BRIDGEPORT WAY SW STE 309
LAKEWOOD, WA 98499
Pierce County (253) 985-2950
JAMES T CLEMEN MD
Surgery
11311 BRIDGEPORT WAY SW STE 309
LAKEWOOD, WA 98499
Pierce County (253) 985-2733
DR. FAITH ANNE ROCHE MD
Surgery
11311 BRIDGEPORT WAY SW STE 309
LAKEWOOD, WA 98499
Pierce County (253) 985-2733

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 Kali Thibault's NPI number?

The NPI number for Kali Thibault is 1336758432. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Kali Thibault located?

Kali Thibault practices at 11311 Bridgeport Way SW Ste 309, Lakewood, WA 98499. The listed phone number is (253) 985-2949.

What is Kali Thibault's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kali Thibault enrolled in Medicare?

Yes. Kali Thibault 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 Kali Thibault accept?

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

According to CMS data, Kali Thibault is affiliated with Multicare Good Samaritan Hospital and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Kali Thibault was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.