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KITSAP GENERAL SURGERY PLLC
NPI 1912010984
Surgery in Silverdale, WA

Active since August 16, 2006
9927 MICKELBERRY RD NW, SUITE 121, SILVERDALE, WA 98383(360) 613-1335(360) 613-1329 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kitsap General Surgery Pllc NPPES

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

KITSAP GENERAL SURGERY PLLC (NPI 1912010984) is a healthcare organization registered as a surgery in Silverdale, Washington and active in the NPI registry since August 2006. The organization lists Ty Chun, Physicianpartner, as its authorized official.

NPPES Registry Identity

NPI1912010984
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKITSAP GENERAL SURGERY PLLC
Location Address9927 MICKELBERRY RD NW, SUITE 121Silverdale, WA 98383-9195
Mailing Address9927 Mickelberry Rd Nw, Suite 121Silverdale, WA 98383-9195 · (360) 613-1335 · Fax (360) 613-1329
Phone(360) 613-1335
Fax(360) 613-1329
Organization SubpartNo
Authorized OfficialTy ChunPhysicianpartner · (360) 613-1335
Enumeration DateAugust 16, 2006
Last NPPES UpdateNovember 15, 2012
✔ NPI 1912010984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9927 MICKELBERRY RD NW, Silverdale, WA 98383
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Other Identifiers 2

Medicare PING8862524WA
Medicaid7134984WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kitsap General Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kitsap General Surgery PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kristan Guenterberg, MD
General Surgery
NPI 1659593754
9927 MICKELBERRY RD NW SUITE 121
Silverdale, WA 98383
(360) 613-1335
✔ PECOS✔ Accepts Medicare0.2 mi
Thomas Wixted, MD
General Surgery
NPI 1841343514
9927 MICKELBERRY RD NW SUITE 121
Silverdale, WA 98383
(360) 613-1335
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kitsap General Surgery PLLC's NPI number?

The NPI number for Kitsap General Surgery PLLC is 1912010984. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Kitsap General Surgery PLLC located?

Kitsap General Surgery PLLC is located at 9927 Mickelberry Rd NW Suite 121, Silverdale, WA 98383. The listed phone number is (360) 613-1335.

What is Kitsap General Surgery PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kitsap General Surgery PLLC enrolled in Medicare?

Yes. Kitsap General Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kitsap General Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Kitsap General Surgery PLLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kitsap General Surgery PLLC accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Kitsap General Surgery PLLC 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 Kitsap General Surgery PLLC was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.