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KATHRYN SUPKO PA-C
NPI 1710683099
Physician Assistant - Medical in Bremerton, WA

Active since February 07, 2023PECOS Enrolled
400 WARREN AVE STE 200, BREMERTON, WA 98337(360) 377-3776 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, Feb 7, 2023 (2 updates tracked since 2023).

About Kathryn Supko Pa-c NPPES

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

KATHRYN SUPKO PA-C (NPI 1710683099) is an individual medical provider in Bremerton, Washington and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710683099
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHRYN SUPKOCredential: PA-C
Location Address400 WARREN AVE STE 200Bremerton, WA 98337-1467
Mailing Address400 Warren Ave Ste 200Bremerton, WA 98337-1467 · (360) 377-3776
Phone(360) 377-3776
Sole ProprietorNo
Enumeration DateFebruary 7, 2023
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1710683099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
400 WARREN AVE STE 200, Bremerton, WA 98337
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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 (PECOS)

Kathryn Supko Pa-c 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.

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.

DR. SPENCER HANSON DDS
Dentist (General Practice)
400 WARREN AVE STE 200
BREMERTON, WA 98337
Kitsap County (360) 478-2366
JUDY WAMBUI NJOKI
Counselor (Mental Health)
400 WARREN AVE STE 200
BREMERTON, WA 98337
Kitsap County (360) 478-2366
GEORGE BLAKE SULLIVAN
Nurse Practitioner (Primary Care)
400 WARREN AVE STE 200
BREMERTON, WA 98337
Kitsap County (360) 377-3776
JIAYI LIEW
Physician Assistant
400 WARREN AVE STE 200
BREMERTON, WA 98337
Kitsap County (360) 377-3776
CALLIE ELIZABETH FORD PA
Physician Assistant
400 WARREN AVE STE 200
BREMERTON, WA 98337
Kitsap County (360) 475-6700
LEAH RAE BOYD PA-C
Physician Assistant
400 WARREN AVE STE 200
BREMERTON, WA 98337
Kitsap County (360) 377-3776
PENINSULA COMMUNITY HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
400 WARREN AVE STE 200
BREMERTON, WA 98337
Kitsap County (360) 377-3776
MR. MICHAEL GARETH SHROUF ARNP
Nurse Practitioner (Family)
400 WARREN AVE STE 200
BREMERTON, WA 98337
Kitsap County (360) 377-3776

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 Kathryn Supko's NPI number?

The NPI number for Kathryn Supko is 1710683099. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Kathryn Supko located?

Kathryn Supko practices at 400 Warren Ave Ste 200, Bremerton, WA 98337. The listed phone number is (360) 377-3776.

What is Kathryn Supko's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathryn Supko enrolled in Medicare?

Yes. Kathryn Supko is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Supko accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kathryn Supko 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 Kathryn Supko was last updated on August 14, 2023. 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.