MARA LORIS NYDES MD
NPI 1255824603
Family Medicine - Sports Medicine in Spokane, WA

Q: What is Mara Nydes's NPI number?

The NPI number for Mara Nydes is 1255824603. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Q: What is Mara Nydes's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Mara Nydes was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 11, 2018PECOS Enrolled

322 W NORTH RIVER DR, SPOKANE, WA 99201(509) 324-6464(509) 241-2056 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2022, Jun 11, 2018 (2 updates tracked since 2018).

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About Mara Loris Nydes Md NPPES

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

MARA LORIS NYDES MD (NPI 1255824603) is an individual sports medicine provider in Spokane, Washington, licensed in Washington (MD61384121) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255824603

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameMARA LORIS NYDESCredential: MD

Location Address322 W NORTH RIVER DRSpokane, WA 99201-3208

Mailing Address322 W North River DrSpokane, WA 99201-3208 · (509) 324-6464 · Fax (509) 241-2056

Phone(509) 324-6464

Fax(509) 241-2056

Sole ProprietorNo

Enumeration DateJune 11, 2018

Last NPPES UpdateApril 26, 20232 updates tracked since enumeration

NPPES CertifiedApril 26, 2023

✔ NPI 1255824603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in WA · MD61384121

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedPediatricsTaxonomy 208000000X · License MD24560 (ME), 4301115052 (MI)

322 W NORTH RIVER DR, Spokane, WA 99201

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Secondary Practice Locations 2

Location 115 E Chestnut StAugusta, ME 04330-5736 · Phone (207) 623-6663

Location 21500 East Medical Center Drive, D-3230Ann Arbor, MI 48109 · Phone (734) 763-9251

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara Loris Nydes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mara Nydes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington

223 mi

Multi-Specialty

2930 MAPLE ST
Everett, WA 98201

Reassigned Medicare billing, Washington enrollment
2,678 clinicians in this Medicare group

NPI 1386935351 (425) 261-1500

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

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

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

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.

EDWARD P. BROW M.D.

Family Medicine