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KATHERINE ACCARDO IMPASTATO MD
NPI 1376962316
Surgery - Plastic and Reconstructive Surgery in Vancouver, WA

Active since April 07, 2014PECOS Enrolled
13317 NE 12TH AVE STE 107, VANCOUVER, WA 98685(360) 350-4794(360) 589-5491 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2024, Nov 18, 2021, Jul 15, 2020 and 1 more (4 updates tracked since 2017).

About Katherine Accardo Impastato Md NPPES

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

KATHERINE ACCARDO IMPASTATO MD (NPI 1376962316) is an individual plastic and reconstructive surgery provider in Vancouver, Washington, licensed in Washington (60660093) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1376962316
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameKATHERINE ACCARDO IMPASTATOCredential: MD
Location Address13317 NE 12TH AVE STE 107Vancouver, WA 98685-2731
Mailing Address13317 Ne 12th Ave Ste 107Vancouver, WA 98685-2731 · (360) 350-4794
Phone(360) 350-4794
Fax(360) 589-5491
Sole ProprietorYes
Enumeration DateApril 7, 2014
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1376962316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in WA · 60660093✔ Licensed in WV · 29791
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 60660093 (WA)
13317 NE 12TH AVE STE 107, Vancouver, WA 98685
Open in Google Maps ↗

Secondary Practice Location 1

Location 1325 9th Avenue, Mailing Suite 359796Seattle, WA 98104 · Phone (206) 744-2868

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Accardo Impastato Md 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 Reassignment

Medicare enrollment records show Katherine Impastato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salmon Creek Plastic Surgery PC
0.2 mi
Plastic Surgery
13712 NE 10TH AVE
Vancouver, WA 98685
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1831253426 (360) 823-0860

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

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 Katherine Impastato's NPI number?

The NPI number for Katherine Impastato is 1376962316. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Katherine Impastato located?

Katherine Impastato practices at 13317 NE 12th Ave Ste 107, Vancouver, WA 98685. The listed phone number is (360) 350-4794.

What is Katherine Impastato's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Katherine Impastato enrolled in Medicare?

Yes. Katherine Impastato is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Impastato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Impastato reassigns Medicare benefits to Salmon Creek Plastic Surgery PC (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Impastato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katherine Impastato was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.