MR. MICHAEL C. MANDZIARA PA
NPI 1245632165
Physician Assistant in Spokane, WA

Active since September 23, 2014PECOS EnrolledAccepts Medicare Assignment
9631 N NEVADA ST STE 300, SPOKANE, WA 99218(509) 465-3919(509) 227-7070 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael C. Mandziara Pa NPPES

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

MR. MICHAEL C. MANDZIARA PA (NPI 1245632165) is an individual physician assistant in Spokane, Washington, licensed in Washington (PA61256932) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1245632165
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL C. MANDZIARACredential: PA
Location Address9631 N NEVADA ST STE 300Spokane, WA 99218-1193
Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (866) 747-2455 · Fax (509) 227-7070
Fax(509) 227-7070
Sole ProprietorNo
Medical School CMSCentral Michigan College Of MedicineGraduated 2014
Enumeration DateSeptember 23, 2014
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
NPI 1245632165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WA · PA61256932 Licensed in MI · 5601007182
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.
9631 N NEVADA ST STE 300, Spokane, WA 99218

Secondary Practice Location 1

Location 144201 Dequindre RdTroy, MI 48085-1117 · Phone (248) 964-5000

Accepted 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

Mr. Michael C. Mandziara Pa 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 ID446470629
PECOS Enrollment IDI20220401000313
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
31 services13 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

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

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Whitman Hospital And Medical Center

Critical Access Hospitals · Colfax, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501327
Location1200 West FairviewColfax, WA 99111 · Whitman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99218 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 9

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

Psychiatry & Neurology (Sleep Medicine)
9631 N NEVADA ST STE 300
SPOKANE, WA 99218
Internal Medicine
9631 N NEVADA ST STE 300
SPOKANE, WA 99218
Internal Medicine
9631 N NEVADA ST STE 300
SPOKANE, WA 99218
Nurse Practitioner
9631 N NEVADA ST STE 300
SPOKANE, WA 99218
Nurse Practitioner (Acute Care)
9631 N NEVADA ST STE 300
SPOKANE, WA 99218
Internal Medicine (Pulmonary Disease)
9631 N NEVADA ST STE 300
SPOKANE, WA 99218
Internal Medicine (Pulmonary Disease)
9631 N NEVADA ST STE 300
SPOKANE, WA 99218
Internal Medicine
9631 N NEVADA ST STE 300
SPOKANE, WA 99218

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 Michael Mandziara's NPI number?

The NPI number for Michael Mandziara is 1245632165. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Michael Mandziara located?

Michael Mandziara practices at 9631 N Nevada St Ste 300, Spokane, WA 99218. The listed phone number is (509) 465-3919.

What is Michael Mandziara's specialty?

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

Is Michael Mandziara enrolled in Medicare?

Yes. Michael Mandziara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Mandziara accept?

Health plans from McLaren Health Plan Community, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael Mandziara 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.

Is Michael Mandziara affiliated with any hospitals?

According to CMS data, Michael Mandziara is affiliated with Kootenai Health, Prov Sacred Hrt Med Ctr & Childs Hosp., Providence Holy Family Hospital and Whitman Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mandziara was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.