Katty Raisor, ARNP - Medicare Nurse Practitioner in Rochester, WA

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Katty Raisor, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Rochester, Washington. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services - Washington and her current practice location is 18313 Paulson St Sw Ste A, Rochester, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 827-8400.

Katty Raisor is licensed to practice in Washington (license number AP61511127) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104695485.

Contact Information

Katty Raisor, ARNP
18313 Paulson St Sw Ste A,
Rochester, WA 98579-9262
(360) 827-8400
(360) 273-7301

Map and Direction




Provider's Profile

Full NameKatty Raisor
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location18313 Paulson St Sw Ste A, Rochester, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katty Raisor graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1104695485
  • Provider Enumeration Date: 12/27/2023
  • Last Update Date: 10/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9032553813
  • Enrollment ID: I20240220003249

Medical Identifiers

Medical identifiers for Katty Raisor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104695485NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP61511127 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Assured Home Health And HospiceCentralia, WAHome health agency
Providence Sound Homecare & HospiceLacey, WAHome health agency
Providence Centralia HospitalCentralia, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services - Washington23654275567

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katty Raisor allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028
Entity NameProvidence Health & Services - Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205931508
PECOS PAC ID: 2365427556
Enrollment ID: O20040622000640

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katty Raisor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katty Raisor, ARNP
Po Box 3360,
Portland, OR 97208-3360

Ph: () -		Katty Raisor, ARNP
18313 Paulson St Sw Ste A,
Rochester, WA 98579-9262

Ph: (360) 827-8400

Reviews and Comments


Nurse Practitioner Nurses in Rochester, WA

Brian D Ottesen, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18313 Paulson St Sw, Rochester, WA 98579
Phone: 360-827-8400    
Julie Rice, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 18313 Paulson St Sw, Suite A, Rochester, WA 98579
Phone: 360-273-8818    Fax: 360-273-7301
Mrs. Jessica Diane Mckeown Ryan, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18313 Paulson St Sw, Rochester, WA 98579
Phone: 360-827-8400    Fax: 360-273-7301
Ashley Miraldi,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 18313 Paulson St Sw, Rochester, WA 98579
Phone: 360-827-8400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.