LICENNA MICHELLE BOUIT DUNN PHYSICIAN ASSISTANT
NPI 1457154023
Surgery - Vascular Surgery in Spokane, WA
About Licenna Michelle Bouit Dunn Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LICENNA MICHELLE BOUIT DUNN PHYSICIAN ASSISTANT (NPI 1457154023) is an individual vascular surgery provider in Spokane, Washington, licensed in Washington (PA.61673586) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Licenna Michelle Bouit Dunn Physician Assistant 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Deaconess Medical Center
Acute Care Hospitals · Spokane, WAPhysician 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.
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.
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 Licenna Dunn's NPI number?
The NPI number for Licenna Dunn is 1457154023. It was assigned to this individual provider in the NPPES registry on March 31, 2025.
Where is Licenna Dunn located?
Licenna Dunn practices at 800 W 5th Ave, Spokane, WA 99204. The listed phone number is (509) 603-5800.
What is Licenna Dunn's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Licenna Dunn enrolled in Medicare?
Yes. Licenna Dunn 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 Licenna Dunn accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Licenna Dunn 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 Licenna Dunn affiliated with any hospitals?
According to CMS data, Licenna Dunn is affiliated with Deaconess Medical Center.
When was this NPI record last updated?
The NPPES record for Licenna Dunn was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Licenna Michelle Bouit Dunn, PHYSICIAN ASSISTANT · NPI 1457154023
Vascular Surgery physician in Spokane, Washington. Individual provider, active in the CMS NPPES registry since March 31, 2025.
## Identity
- **NPI:** 1457154023 (Entity type: Individual)
- **Enumerated:** March 31, 2025
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** PA.61673586 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 W 5TH AVE, Spokane, WA 99204-2803
- **Phone:** (509) 603-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457154023) · Data from the CMS NPPES public registry.