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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREW JON KIMITSUKA PA-C
NPI 1518754837
Physician Assistant - Surgical in Tacoma, WA

Active since April 21, 2025PECOS Enrolled
1608 S J ST FL 5, TACOMA, WA 98405(253) 274-7505(253) 274-7948 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Andrew Jon Kimitsuka Pa-c NPPES

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

ANDREW JON KIMITSUKA PA-C (NPI 1518754837) is an individual surgical provider in Tacoma, Washington, licensed in Washington (PA.PA.61633154) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1518754837
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANDREW JON KIMITSUKACredential: PA-C
Location Address1608 S J ST FL 5Tacoma, WA 98405-4930
Mailing Address1608 S J St Fl 5Tacoma, WA 98405-4930 · (253) 274-7505 · Fax (253) 274-7948
Phone(253) 274-7505
Fax(253) 274-7948
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 21, 2025
Last NPPES UpdateSeptember 25, 2026
NPPES CertifiedSeptember 25, 2026
✔ NPI 1518754837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA.PA.61633154
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.PA.61633154 (WA)
1608 S J ST FL 5, Tacoma, WA 98405
Open in Google Maps ↗

Secondary Practice Location 1

Location 13920 Capital Mall Dr SW Ste 100Olympia, WA 98502-8701 · Phone (360) 706-6250

Other Identifiers 1

Medicaid2337343WA

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

Andrew Jon Kimitsuka 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 ID446768519
PECOS Enrollment IDI20250801000003
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 3

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

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

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County
Emergency services Birthing friendly

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

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.

BERNARD BADURIA MA, CCC-A
Audiologist
1608 S J ST FL 5
TACOMA, WA 98405
Pierce County (253) 627-6731
MISS ELAINE CATHERINE KISER-RUDE PA-C
Physician Assistant
1608 S J ST FL 5
TACOMA, WA 98405
Pierce County (253) 274-7505
DR. JAY C. ERICKSON M.D.
Psychiatry & Neurology (Neurology)
1608 S J ST FL 5
TACOMA, WA 98405
Pierce County (253) 274-7505
CAOILIN HOCTOR
Physician Assistant
1608 S J ST FL 5
TACOMA, WA 98405
Pierce County (253) 274-7505
ALLISON REANNE WALCZYK ARNP, DNP
Nurse Practitioner
1608 S J ST FL 5
TACOMA, WA 98405
Pierce County (253) 274-7505
MS. MONICA NELSON ARNP
Nurse Practitioner (Adult Health)
1608 S J ST FL 5
TACOMA, WA 98405
Pierce County (253) 274-7505
CATHERINE G IGNACIO
Nurse Practitioner (Family)
1608 S J ST FL 5
TACOMA, WA 98405
Pierce County (253) 274-7505
JESSICA LYNN HANSEN PAC
Physician Assistant (Surgical)
1608 S J ST FL 5
TACOMA, WA 98405
Pierce County (253) 274-7505

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 Andrew Kimitsuka's NPI number?

The NPI number for Andrew Kimitsuka is 1518754837. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Andrew Kimitsuka located?

Andrew Kimitsuka practices at 1608 S J St Fl 5, Tacoma, WA 98405. The listed phone number is (253) 274-7505.

What is Andrew Kimitsuka's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrew Kimitsuka enrolled in Medicare?

Yes. Andrew Kimitsuka 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 Andrew Kimitsuka accept?

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

According to CMS data, Andrew Kimitsuka is affiliated with Tacoma General Allenmore Hospital, Capital Medical Center and Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Andrew Kimitsuka was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.