LIBERTY LAKE DIRECT PRIMARY CARE PLLC
NPI 1558048280
Family Medicine in Liberty Lake, WA
About Liberty Lake Direct Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY LAKE DIRECT PRIMARY CARE PLLC (NPI 1558048280), doing business as Liberty Lake Dpc, is a healthcare organization registered as a family medicine in Liberty Lake, Washington and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jared W. Nelson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
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 of Waiver 50D2292515
Liberty Lake Direct Primary Care, PLLC · Liberty Lake, WAMedical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Spokane Spine And Disc carries, from the Medicare DMEPOS supplier directory.
Spokane Spine And Disc
DMEPOS supplier · Liberty Lake, WAOperated by Liberty Lake Chiropractic PsAccepts Medicare assignment
Spokane Spine And Disc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIBERTY LAKE, WA 99019
LIBERTY LAKE, WA 99019
LIBERTY LAKE, WA 99019
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 Liberty Lake Direct Primary Care PLLC's NPI number?
The NPI number for Liberty Lake Direct Primary Care PLLC is 1558048280. It was assigned to this organization in the NPPES registry on July 4, 2023. The provider is doing business as Liberty Lake DPC.
Where is Liberty Lake Direct Primary Care PLLC located?
Liberty Lake Direct Primary Care PLLC is located at 2207 N Molter Rd, Liberty Lake, WA 99019. The listed phone number is (509) 348-2214.
What is Liberty Lake Direct Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Liberty Lake Direct Primary Care PLLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Spokane Spine And Disc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Liberty Lake Direct Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2292515) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Liberty Lake Direct Primary Care PLLC was last updated on July 4, 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.
