MS. ENNESSA IVY GORKOVCHENKO PA-C
NPI 1124532502
Physician Assistant in Spokane, WA

Q: What is Ennessa Gorkovchenko's NPI number?

The NPI number for Ennessa Gorkovchenko is 1124532502. It was assigned to this individual provider in the NPPES registry on November 21, 2017.

Q: What is Ennessa Gorkovchenko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 21, 2017PECOS EnrolledAccepts Medicare Assignment

217 W CATALDO AVE, SPOKANE, WA 99201(509) 747-6194(509) 252-2837 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2018, Nov 21, 2017 (2 updates tracked since 2017).

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About Ms. Ennessa Ivy Gorkovchenko Pa-c NPPES

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

MS. ENNESSA IVY GORKOVCHENKO PA-C (NPI 1124532502) is an individual physician assistant in Spokane, Washington, licensed in Washington (PA60901681) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124532502

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. ENNESSA IVY GORKOVCHENKOCredential: PA-C

Location Address217 W CATALDO AVESpokane, WA 99201-2217

Mailing AddressPo Box 2242Spokane, WA 99210-2242 · (509) 747-6194 · Fax (509) 252-2837

Phone(509) 747-6194

Fax(509) 252-2837

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 21, 2017

Last NPPES UpdateSeptember 28, 20182 updates tracked since enumeration

✔ NPI 1124532502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WA · PA60901681

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

217 W CATALDO AVE, Spokane, WA 99201

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Other Identifiers 1

OtherPA60901681WA · Department Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Ms. Ennessa Ivy Gorkovchenko Pa-c 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 ID5193060689

PECOS Enrollment IDI20190103001339

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.

Hospital Affiliations CMS Care Compare

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

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500054

Location101 West 8th AvenueSpokane, WA 99204 · Spokane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

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