SPOKANE OBSTETRICS & GYNECOLOGY, PS
NPI 1184756793
Obstetrics & Gynecology in Spokane, WA

Active since March 09, 2007CLIA Certified · 2 labs
105 W 8TH AVE, SUITE 6060, SPOKANE, WA 99204(509) 838-4211(509) 838-6432 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spokane Obstetrics & Gynecology, Ps NPPES

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

SPOKANE OBSTETRICS & GYNECOLOGY, PS (NPI 1184756793) is a healthcare organization registered as an obstetrics & gynecology in Spokane, Washington and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Melodie L Olsen, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1184756793
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSPOKANE OBSTETRICS & GYNECOLOGY, PS
Location Address105 W 8TH AVE, SUITE 6060Spokane, WA 99204-2302
Mailing Address105 W 8th Ave, Suite 6060Spokane, WA 99204-2302 · (509) 838-4211 · Fax (509) 838-6432
Fax(509) 838-6432
Organization SubpartNo
Authorized OfficialMelodie L OlsenPractice Administrator · (509) 838-4211
Enumeration DateMarch 9, 2007
Last NPPES UpdateFebruary 28, 2008
✔ NPI 1184756793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
105 W 8TH AVE, Spokane, WA 99204

Other Identifiers 2

Medicare ID-Type Unspecified000358300WA · Clinic Number
Medicaid7764608WA

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spokane Obstetrics & Gynecology, Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Spokane Obstetrics & Gynecology, Ps, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Obstetrics/Gynecology
NPI 1164587259
105 W 8TH AVE SUITE 6060
Spokane, WA 99204
(509) 838-4211
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1659638021
105 W 8TH AVE STE 6020
Spokane, WA 99204
(509) 455-5050
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1154319283
105 W 8TH AVE SUITE 6060
Spokane, WA 99204
(509) 838-4211
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1396030771
105 W 8TH AVE STE 6060
Spokane, WA 99204
(509) 838-4211
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1447518808
105 W 8TH AVE 6060
Spokane, WA 99204
(509) 838-4211
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1891783924
105 W 8TH AVE SUITE 6060
Spokane, WA 99204
(509) 838-4211
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1619972320
105 W 8TH AVE SUITE 6060
Spokane, WA 99204
(509) 838-4211
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1538742879
110 W CLIFF DR STE 420
Spokane, WA 99204
(509) 838-4211
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0952268

Spokane Obstetrics And Gynecology Ps · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D0952268
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 1998
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDominique K. Grant
Laboratory Phone(509) 838-4211
Laboratory LocationSpokane Obstetrics And Gynecology Ps110 W Cliff Dr, Ste 420, Spokane, WA 99204
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0977044

Spokane Obstetrics And Gynecology Ps · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D0977044
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2000
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDominique K. Grant
Laboratory Phone(509) 838-4211
Laboratory LocationSpokane Obstetrics And Gynecology Ps12509 E Mission, Suite 201, Spokane, WA 99216
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Obstetrics & Gynecology, Ps's NPI number?

The NPI number for Spokane Obstetrics & Gynecology, Ps is 1184756793. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Spokane Obstetrics & Gynecology, Ps located?

Spokane Obstetrics & Gynecology, Ps is located at 105 W 8th Ave Suite 6060, Spokane, WA 99204. The listed phone number is (509) 838-4211.

What is Spokane Obstetrics & Gynecology, Ps's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Spokane Obstetrics & Gynecology, Ps enrolled in Medicare?

Yes. Spokane Obstetrics & Gynecology, Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spokane Obstetrics & Gynecology, Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Spokane Obstetrics & Gynecology, Ps. 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. Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spokane Obstetrics & Gynecology, Ps hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Spokane Obstetrics & Gynecology, Ps accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Spokane Obstetrics & Gynecology, Ps 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 Obstetrics & Gynecology, Ps was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.