Kim Jennifer Herzog, PAC
Physician Assistant · Everett, WA
Kim Jennifer Herzog, PAC is a physician assistant with a practice address in Everett, Washington, and NPI 1467548685, issued on Oct 5, 2006. Check the license (Washington PA10004579, as entered in NPPES) with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kim Jennifer Herzog
- Credential
- PAC
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA10004579 WA
Self-reported in NPPES; status is on the state search - Practice location
- 1001 N Broadway, Everett, WA 98201
- Phone
- (425) 317-0300
- Enumerated
- Oct 5, 2006
- Record last updated
- Feb 24, 2009 (not updated in 17 years: call before relying on the address or phone)
- Fax
- (425) 317-0303
- Medicaid ID
- 8384745 WA
- Entity
- Type 1 · individual
Also registered at 1001 N Broadway
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Beth Aversa, ARNPNurse Practitioner1033201009
- Patricia Brandt, ARNPMental Health Counselor1922136308
- Cheryl Crance, RD, CDRegistered Dietitian1265604169
- Susan Jones, ARNPFamily Nurse Practitioner1548457039
- Timothy McNamaraNephrology Physician1003870023
- Dan Miller, ARNPFamily Nurse Practitioner1134168164
Verify Kim Jennifer Herzog in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PA10004579Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
144 physician assistant records list a practice address in Everett
They are 144 of the 7,246 NPPES records with a practice address in Everett, and 3,718 physician assistant records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 144 in Everett → All 3,718 in Washington → Every provider in Everett →
Other physician assistant records in Washington
- Eric Abarr, PA-CMarysville, WA1598655292
- Ahmed Abdelshafy, PA-CCheney, WA1457029795
- Sihaam AbdiShoreline, WA1801758289
- Nicole Abdullah, PAWenatchee, WA1285032268
- Kimberly Abella-Cree, PA-CYakima, WA1548514292
- Buddhika AbeyratneOak Harbor, WA1104369560
- Danielle Abrass, PA-CSeattle, WA1184140717
- Abraham Abu, PA-CSeattle, WA1710036587
- Alvin AbuegEverett, WA1396132015
- Aaron Adam, PA-CVancouver, WA1447543459
Common questions
What is Kim Jennifer Herzog, PAC's NPI number?
Kim Jennifer Herzog, PAC's National Provider Identifier (NPI) is 1467548685, issued on Oct 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kim Jennifer Herzog, PAC located?
The NPPES record lists a practice address at 1001 N Broadway, Everett, WA, 98201. Phone: (425) 317-0300. Providers update this record themselves, so call before visiting.
How can I verify Kim Jennifer Herzog, PAC's license?
NPPES lists Washington license number PA10004579, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.