KACEY SULLIVAN PA-C
NPI 1639659733
Physician Assistant - Medical in Spokane, WA

Q: What is Kacey Sullivan's NPI number?

The NPI number for Kacey Sullivan is 1639659733. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Q: What is Kacey Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kacey Sullivan was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 17, 2018PECOS EnrolledAccepts Medicare Assignment

910 W 5TH AVE STE 900, SPOKANE, WA 99204(509) 755-5500(509) 744-1741 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Aug 8, 2019, Aug 17, 2018 (3 updates tracked since 2018).

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About Kacey Sullivan Pa-c NPPES

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

KACEY SULLIVAN PA-C (NPI 1639659733) is an individual medical provider in Spokane, Washington, licensed in Washington (PA61190646) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and maintains a secondary practice location in Topeka.

NPPES Registry Identity

NPI1639659733

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKACEY SULLIVANCredential: PA-C

Location Address910 W 5TH AVE STE 900Spokane, WA 99204-2948

Mailing Address910 W 5th Ave Ste 900Spokane, WA 99204-2948 · (509) 755-5500 · Fax (509) 744-1741

Phone(509) 755-5500

Fax(509) 744-1741

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 17, 2018

Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1639659733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA61190646

910 W 5TH AVE STE 900, Spokane, WA 99204

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Secondary Practice Location 1

Location 1830 SW Mulvane StTopeka, KS 66606-1654 · Phone (785) 270-8625 · Fax (785) 270-8624

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Kacey Sullivan Pa-c 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 ID5193069011

PECOS Enrollment IDI20211102002825

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.

52 services46 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.

33 services31 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

17 services17 patients

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, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500044

LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County

Emergency services Birthing friendly

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.

LINDSEY RENAE SCHWADERER ARNP

Nurse Practitioner (Family)