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KATHRYN ELISE BURK-WAKE PA-C
NPI 1871065649
Physician Assistant in Portland, OR

Active since December 18, 2018PECOS Enrolled
86.03/100
CMS Quality Rating
417 SW 117TH AVE, PORTLAND, OR 97225(503) 216-9400 Get Directions Write a Review

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

Record update history: Apr 10, 2026, Feb 15, 2021, Jan 10, 2019 and 1 more (4 updates tracked since 2018).

About Kathryn Elise Burk-wake Pa-c NPPES

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

KATHRYN ELISE BURK-WAKE PA-C (NPI 1871065649) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA190649) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871065649
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHRYN ELISE BURK-WAKECredential: PA-C
Location Address417 SW 117TH AVEPortland, OR 97225-5924
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 216-9400
Sole ProprietorNo
Enumeration DateDecember 18, 2018
Last NPPES UpdateApril 10, 20264 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1871065649 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 OR · PA190649
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.
417 SW 117TH AVE, Portland, OR 97225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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 Elise Burk-wake 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

Other Providers at the Same Location NPPES 19

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

YVONNE HOWELL PA-C
Physician Assistant
417 SW 117TH AVE, SUITE 200
PORTLAND, OR 97225
Washington County (503) 216-9400
PROVIDENCE HEALTH & SERVICES - OREGON
Dermatology
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Washington County (503) 216-9400
LISA S TURNER MD
Dermatology
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Washington County (503) 216-9400
VIEN THAO LUU MD
Internal Medicine
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Washington County (503) 216-9400
MICHAEL R. MCCLUNG MD
Clinic/Center (Medical Specialty)
417 SW 117TH AVE, STE. 120
PORTLAND, OR 97225
Washington County (503) 641-7173
MICHELLE D BONTA MD
Dermatology
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Washington County (503) 216-9400
JEAN D LEE MD
Internal Medicine
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Washington County (503) 216-9400
CONNIE VOLPI PA-C
Physician Assistant
417 SW 117TH AVE, 2ND FLOOR
PORTLAND, OR 97225
Washington County (503) 216-9400

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 Burk-wake's NPI number?

The NPI number for Kathryn Burk-wake is 1871065649. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is Kathryn Burk-wake located?

Kathryn Burk-wake practices at 417 SW 117th Ave, Portland, OR 97225. The listed phone number is (503) 216-9400.

What is Kathryn Burk-wake's specialty?

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

Is Kathryn Burk-wake enrolled in Medicare?

Yes. Kathryn Burk-wake is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Burk-wake accept?

Health plans from PacificSource Health Plans list Kathryn Burk-wake 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 Burk-wake was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.