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KIM JENNIFER HERZOG PAC
NPI 1467548685
Physician Assistant in Everett, WA

Active since October 05, 2006
1001 N BROADWAY, SUITE A-3, EVERETT, WA 98201(425) 317-0300(425) 317-0303 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Jennifer Herzog Pac NPPES

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

KIM JENNIFER HERZOG PAC (NPI 1467548685) is an individual physician assistant in Everett, Washington, licensed in Washington (PA10004579) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1467548685
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIM JENNIFER HERZOGCredential: PAC
Location Address1001 N BROADWAY, SUITE A-3Everett, WA 98201-1586
Mailing Address909 N Broadway, PboEverett, WA 98201-1409 · (425) 317-0699 · Fax (425) 317-0291
Phone(425) 317-0300
Fax(425) 317-0303
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateFebruary 24, 2009
✔ NPI 1467548685 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 · PA10004579
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.
1001 N BROADWAY, Everett, WA 98201
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Other Names 1

Former Name (1)Kim Gershowitz Pac

Other Identifiers 4

Medicare PING8878734WA
Medicare ID-Type Unspecified8802441WA
Medicare UPINQ11289WA
Medicaid8384745WA

Accepted Insurance

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

Other Providers at the Same Location NPPES 10

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

TIMOTHY EDWARD MCNAMARA
Internal Medicine (Nephrology)
1001 N BROADWAY, SUITE A3
EVERETT, WA 98201
Snohomish County (425) 317-0300
BETH D. AVERSA ARNP
Nurse Practitioner
1001 N BROADWAY, SUITE A-3
EVERETT, WA 98201
Snohomish County (425) 317-0300
DAN L MILLER ARNP
Nurse Practitioner (Family)
1001 N BROADWAY, SUITE A-3
EVERETT, WA 98201
Snohomish County (425) 317-0300
CHERYL CRANCE RD, CD
Dietitian, Registered
1001 N BROADWAY, SUITE A-3
EVERETT, WA 98201
Snohomish County (425) 317-0300
SEATTLE PAIN CENTER MEDICAL CORPORATION
Anesthesiology (Pain Medicine)
1001 N BROADWAY, STE A3
EVERETT, WA 98201
Snohomish County (425) 250-5551
MISS SUSAN J JONES ARNP
Nurse Practitioner (Family)
1001 N BROADWAY, SUITE A3
EVERETT, WA 98201
Snohomish County (425) 317-0300
MRS. HEATHER L MORRIS CRNA
Nurse Anesthetist, Certified Registered
1001 N BROADWAY
EVERETT, WA 98201
Snohomish County (206) 498-9420
VALERIE L. WEGERMANN ARNP
Nurse Practitioner
1001 N BROADWAY, SUITE A-3
EVERETT, WA 98201
Snohomish County (425) 317-0300

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 Kim Herzog's NPI number?

The NPI number for Kim Herzog is 1467548685. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Kim Gershowitz Pac.

Where is Kim Herzog located?

Kim Herzog practices at 1001 N Broadway Suite A-3, Everett, WA 98201. The listed phone number is (425) 317-0300.

What is Kim Herzog's specialty?

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

What insurance does Kim Herzog accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Kim Herzog 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.

When was this NPI record last updated?

The NPPES record for Kim Herzog was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.