KATHLEEN RAFTERY
NPI 1932560448
Physician Assistant - Surgical in Vancouver, WA

Active since March 10, 2016PECOS EnrolledAccepts Medicare Assignment
88.79/100
CMS Quality Rating
200 NE MOTHER JOSEPH PL STE 330, VANCOUVER, WA 98664(360) 514-2990(360) 514-3508 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2024, Jul 25, 2022, Dec 14, 2021 (3 updates tracked since 2021).

About Kathleen Raftery NPPES

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

KATHLEEN RAFTERY (NPI 1932560448) is an individual surgical provider in Vancouver, Washington, licensed in Montana (MED-PAC-LIC-91166) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in La Mesa.

NPPES Registry Identity

NPI1932560448
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATHLEEN RAFTERY
Location Address200 NE MOTHER JOSEPH PL STE 330Vancouver, WA 98664-3288
Mailing Address4438 Hideaway PlLa Mesa, CA 91941-6800
Fax(360) 514-3508
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 10, 2016
Last NPPES UpdateMay 1, 20243 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
NPI 1932560448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MT · MED-PAC-LIC-91166
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA61285554 (WA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MED-PAC-REG-0001782 (MT)
200 NE MOTHER JOSEPH PL STE 330, Vancouver, WA 98664

Secondary Practice Location 1

Location 14438 Hideaway PlLA Mesa, CA 91941-6800 · Phone (619) 460-6220

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Raftery is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719267194
PECOS Enrollment IDI20201228002361
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Big Horn Hospital

Critical Access Hospitals · Hardin, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271338
Location17 N MilesHardin, MT 59034 · Big Horn County
Emergency services

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.

88.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.8
Promoting Interoperability100
Improvement Activities40
Cost64.75

Other Providers at the Same Location NPPES 12

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

Internal Medicine
200 NE MOTHER JOSEPH PL STE 330
VANCOUVER, WA 98664
Nurse Practitioner
200 NE MOTHER JOSEPH PL STE 330
VANCOUVER, WA 98664
Nurse Practitioner (Family)
200 NE MOTHER JOSEPH PL STE 330
VANCOUVER, WA 98664
Physician Assistant
200 NE MOTHER JOSEPH PL STE 330
VANCOUVER, WA 98664
Internal Medicine (Pulmonary Disease)
200 NE MOTHER JOSEPH PL STE 330
VANCOUVER, WA 98664
Internal Medicine (Pulmonary Disease)
200 NE MOTHER JOSEPH PL STE 330
VANCOUVER, WA 98664
Nurse Practitioner (Family)
200 NE MOTHER JOSEPH PL STE 330
VANCOUVER, WA 98664
Internal Medicine (Pulmonary Disease)
200 NE MOTHER JOSEPH PL STE 330
VANCOUVER, WA 98664

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 Kathleen Raftery's NPI number?

The NPI number for Kathleen Raftery is 1932560448. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Where is Kathleen Raftery located?

Kathleen Raftery practices at 200 NE Mother Joseph Pl Ste 330, Vancouver, WA 98664. The listed phone number is (360) 514-2990.

What is Kathleen Raftery's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kathleen Raftery enrolled in Medicare?

Yes. Kathleen Raftery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Raftery accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Kathleen Raftery 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.

Is Kathleen Raftery affiliated with any hospitals?

According to CMS data, Kathleen Raftery is affiliated with Billings Clinic and Big Horn Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Raftery was last updated on May 1, 2024. 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.