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SARA GUSSENHOVEN
NPI 1558123570
Physician Assistant - Surgical in Spokane, WA

Active since January 25, 2024PECOS EnrolledAccepts Medicare Assignment
62 W 7TH AVE STE 110, SPOKANE, WA 99204(509) 456-0262(509) 625-1868 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Sara Gussenhoven NPPES

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

SARA GUSSENHOVEN (NPI 1558123570) is an individual surgical provider in Spokane, Washington, licensed in Washington (PA70007663) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and maintains a secondary practice location in West Lebanon.

NPPES Registry Identity

NPI1558123570
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSARA GUSSENHOVEN
Location Address62 W 7TH AVE STE 110Spokane, WA 99204-2321
Mailing Address62 W 7th Ave Ste 110Spokane, WA 99204-2321 · (603) 308-1472 · Fax (509) 625-1868
Phone(509) 456-0262
Fax(509) 625-1868
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 25, 2024
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1558123570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA70007663
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
62 W 7TH AVE STE 110, Spokane, WA 99204
Open in Google Maps ↗

Secondary Practice Location 1

Location 124 Airport Rd Ste 19West Lebanon, NH 03784-1663 · Phone (603) 298-6617

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Providence Health Plan.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

Sara Gussenhoven 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 ID3779023130
PECOS Enrollment IDI20240911004673, I20250821002536
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.

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

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.

MARY CRISTINA SMITH MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
62 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 456-0262
KURT WILLIAM KOHLER PA-C
Physician Assistant (Surgical)
62 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 456-0262
DAVIN VALENTI
Nurse Practitioner
62 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 456-0262
DR. STEVEN J. NISCO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
62 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 456-0262
JEREMY MULLAVEY ARNP
Nurse Practitioner (Critical Care Medicine)
62 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 456-0262
JASON MAYBERRY PAC
Physician Assistant (Surgical)
62 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 462-6485
ANNAMARIE ROSE VAUGHAN MHS, PA-C
Physician Assistant (Surgical)
62 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 462-6485
JIN MEI LO-TOMBLIN PA-C
Physician Assistant (Surgical)
62 W 7TH AVE STE 110
SPOKANE, WA 99204
Spokane County (509) 456-0262

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 Sara Gussenhoven's NPI number?

The NPI number for Sara Gussenhoven is 1558123570. It was assigned to this individual provider in the NPPES registry on January 25, 2024.

Where is Sara Gussenhoven located?

Sara Gussenhoven practices at 62 W 7th Ave Ste 110, Spokane, WA 99204. The listed phone number is (509) 456-0262.

What is Sara Gussenhoven's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sara Gussenhoven enrolled in Medicare?

Yes. Sara Gussenhoven 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 Sara Gussenhoven accept?

Health plans from Ambetter from NH Healthy Families and Providence Health Plan list Sara Gussenhoven 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 Sara Gussenhoven affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Sara Gussenhoven was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.