MRS. KRISTEN ELISE SHI SU RN, ANP-BC
NPI 1619228301
Nurse Practitioner in Federal Way, WA
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Kristen Su reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
FEDERAL WAY, WA 98003
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 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.
Where is Kristen Su located?
Kristen Su practices at 135 S 336th St, Federal Way, WA 98003. The listed phone number is (253) 835-7453.
What is Kristen Su's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kristen Su enrolled in Medicare?
Yes. Kristen Su is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristen Su's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Su reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Renton, 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 Kristen Su'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 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.
# Mrs. Kristen Elise Shi Su, RN, ANP-BC · NPI 1619228301
Nurse Practitioner physician in Federal Way, Washington. Individual provider, active in the CMS NPPES registry since September 21, 2012.
## Identity
- **NPI:** 1619228301 (Entity type: Individual)
- **Enumerated:** September 21, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP60311591 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 135 S 336TH ST, Federal Way, WA 98003-6350
- **Phone:** (253) 835-7453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619228301) · Data from the CMS NPPES public registry.