SPOKANE RESOURCE GROUP, PLLC
NPI 1013205483
Nurse Practitioner - Psychiatric/Mental Health in Spokane, WA

Active since July 19, 2011
1817 E SPRINGFIELD AVE, SUITE E., SPOKANE, WA 99202(509) 262-6406(509) 262-6406 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spokane Resource Group, Pllc NPPES

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

SPOKANE RESOURCE GROUP, PLLC (NPI 1013205483) is a healthcare organization registered as a psychiatric/mental health in Spokane, Washington and active in the NPI registry since July 2011. The organization lists Troy Bruner, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1013205483
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSPOKANE RESOURCE GROUP, PLLC
Location Address1817 E SPRINGFIELD AVE, SUITE E.Spokane, WA 99202-2913
Mailing Address1817 E Springfield Ave, Suite E.Spokane, WA 99202-2913 · (509) 262-6406 · Fax (509) 262-6406
Fax(509) 262-6406
Organization SubpartNo
Authorized OfficialTroy BrunerBusiness Manager · (509) 262-6406
Enumeration DateJuly 19, 2011
✔ NPI 1013205483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60211296
Also ListedPsychologistTaxonomy 103T00000X · License PY60115733 (WA)
1817 E SPRINGFIELD AVE, Spokane, WA 99202

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spokane Resource Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20120412000513Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spokane Resource Group, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1376849737
1817 E SPRINGFIELD AVE SUITE E
Spokane, WA 99202
(509) 262-6406
✔ PECOS✔ Accepts MedicareSame address

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 Spokane Resource Group, PLLC's NPI number?

The NPI number for Spokane Resource Group, PLLC is 1013205483. It was assigned to this organization in the NPPES registry on July 19, 2011.

Where is Spokane Resource Group, PLLC located?

Spokane Resource Group, PLLC is located at 1817 E Springfield Ave Suite E., Spokane, WA 99202. The listed phone number is (509) 262-6406.

What is Spokane Resource Group, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Spokane Resource Group, PLLC enrolled in Medicare?

Yes. Spokane Resource Group, PLLC is registered in the Medicare PECOS enrollment system.

When is Spokane Resource Group, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spokane Resource Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Spokane Resource Group, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spokane Resource Group, PLLC accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Spokane Resource Group, 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 Spokane Resource Group, PLLC was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.