CAROL LEE HOUGH FNP
NPI 1255996674
Nurse Practitioner - Family in Spokane, WA

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment
820 S MCCLELLAN ST STE 200, SPOKANE, WA 99204(509) 747-1144 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Nov 8, 2021, Jan 26, 2021 and 2 more (5 updates tracked since 2019).

About Carol Lee Hough Fnp NPPES

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

CAROL LEE HOUGH FNP (NPI 1255996674) is an individual family provider in Spokane, Washington, licensed in Washington (AP61051876) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1255996674
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL LEE HOUGHCredential: FNP
Location Address820 S MCCLELLAN ST STE 200Spokane, WA 99204-2456
Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (866) 747-2455 · Fax (509) 227-7070
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 1, 2019
Last NPPES UpdateNovember 18, 20215 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
NPI 1255996674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP61051876
Also ListedFamily MedicineTaxonomy 207Q00000X · License 144809 (MT)
820 S MCCLELLAN ST STE 200, Spokane, WA 99204

Secondary Practice Location 1

Location 1421 S Division StSpokane, WA 99202-1331 · Phone (509) 474-2100 · Fax (509) 227-7070

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

Carol Lee Hough Fnp 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 ID7911235528
PECOS Enrollment IDI20200531000027
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
219 services211 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients

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 99204 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 11

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

Surgery (Plastic and Reconstructive Surgery)
820 S MCCLELLAN ST STE 200
SPOKANE, WA 99204
Internal Medicine
820 S MCCLELLAN ST STE 200
SPOKANE, WA 99204
Family Medicine
820 S MCCLELLAN ST STE 200
SPOKANE, WA 99204
Nurse Practitioner
820 S MCCLELLAN ST STE 200
SPOKANE, WA 99204
Nurse Practitioner (Family)
820 S MCCLELLAN ST STE 200
SPOKANE, WA 99204
Family Medicine
820 S MCCLELLAN ST STE 200
SPOKANE, WA 99204
Internal Medicine
820 S MCCLELLAN ST STE 200
SPOKANE, WA 99204
Social Worker (Clinical)
820 S MCCLELLAN ST STE 200
SPOKANE, WA 99204

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 Carol Hough's NPI number?

The NPI number for Carol Hough is 1255996674. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Carol Hough located?

Carol Hough practices at 820 S Mcclellan St Ste 200, Spokane, WA 99204. The listed phone number is (509) 747-1144.

What is Carol Hough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carol Hough enrolled in Medicare?

Yes. Carol Hough 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 Carol Hough accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Carol Hough 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 Carol Hough affiliated with any hospitals?

According to CMS data, Carol Hough is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp..

When was this NPI record last updated?

The NPPES record for Carol Hough was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.