Individual Healthcare Provider
Kristen Erin Roberts, PA-C
Provider's NPPES record last updated: March 4, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1235694936
- Primary Specialty
- Physician Assistant — Surgical
- Practice Location
- Mount Vernon, Washington
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 9:45 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X
Provider-Reported License Information
- Physician Assistant (Washington)
- PA60917935
Practice Locations
Practice Location
1500 Continental Pl
Mount Vernon, Washington 98273-4105
Phone: (360) 424-7041
Additional Practice Location
1017 20th St
Anacortes, Washington 98221-2505
Phone: (360) 424-7041
Fax: (360) 424-2418
Additional Practice Location
2720 Commercial Ave
Anacortes, Washington 98221-2734
Phone: (360) 424-7041
Fax: (360) 424-2418
Additional Practice Location
1401 S Laventure Rd
Mount Vernon, Washington 98274-6033
Phone: (360) 424-2400
Record Information
- Enumeration Date
- February 6, 2019
- Provider's NPPES Record Last Updated
- March 4, 2019
- NPISignal NPPES Dataset
- August 2026
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