MRS. KRISTEN ELISE SHI SU RN, ANP-BC
NPI 1619228301
Nurse Practitioner in Federal Way, WA

Q: What is Kristen Su's NPI number?

The NPI number for Kristen Su is 1619228301. It was assigned to this individual provider in the NPPES registry on September 21, 2012. The provider is also known as Mrs. Kristen Elise Shi Rn, Anp-Bc.

Q: What is Kristen Su's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Su was last updated on June 10, 2021. 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.

Active since September 21, 2012PECOS Enrolled

135 S 336TH ST, FEDERAL WAY, WA 98003(253) 835-7453 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kristen Elise Shi Su Rn, Anp-bc NPPES

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

MRS. KRISTEN ELISE SHI SU RN, ANP-BC (NPI 1619228301) is an individual nurse practitioner in Federal Way, Washington, licensed in Washington (AP60311591) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1619228301

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KRISTEN ELISE SHI SUCredential: RN, ANP-BC

Location Address135 S 336TH STFederal Way, WA 98003-6350

Mailing Address135 S 336th StFederal Way, WA 98003-6350 · (253) 835-7453

Phone(253) 835-7453

Sole ProprietorNo

Enumeration DateSeptember 21, 2012

Last NPPES UpdateJune 10, 2021

NPPES CertifiedJune 10, 2021

✔ NPI 1619228301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP60311591

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

135 S 336TH ST, Federal Way, WA 98003

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Other Names 1

Former Name (1)Mrs. Kristen Elise Shi Rn, Anp-bc

Secondary Practice Location 1

Location 1201 16th Ave ESeattle, WA 98112-5226 · Phone (206) 326-3000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kristen Elise Shi Su Rn, Anp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98003 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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 6

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

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