PLASTIC SURGERY NORTHWEST PLLC
NPI 1780714139
Plastic Surgery in Spokane, WA
About Plastic Surgery Northwest Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLASTIC SURGERY NORTHWEST PLLC (NPI 1780714139) is a healthcare organization registered as a plastic surgery in Spokane, Washington and active in the NPI registry since March 2007. The organization lists Sandra Conner, Revenue Cycle Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Plastic Surgery Northwest Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Plastic Surgery Northwest PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Plastic Surgery Northwest PLLC's NPI number?
The NPI number for Plastic Surgery Northwest PLLC is 1780714139. It was assigned to this organization in the NPPES registry on March 6, 2007.
Where is Plastic Surgery Northwest PLLC located?
Plastic Surgery Northwest PLLC is located at 530 S Cowley St Ste 100, Spokane, WA 99202. The listed phone number is (509) 838-7028.
What is Plastic Surgery Northwest PLLC's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Plastic Surgery Northwest PLLC enrolled in Medicare?
Yes. Plastic Surgery Northwest PLLC is registered in the Medicare PECOS enrollment system.
When is Plastic Surgery Northwest PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Plastic Surgery Northwest PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Plastic Surgery Northwest PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Plastic Surgery Northwest PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Plastic Surgery Northwest PLLC 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.
When was this NPI record last updated?
The NPPES record for Plastic Surgery Northwest PLLC was last updated on July 15, 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.
# Plastic Surgery Northwest Pllc · NPI 1780714139
Plastic Surgery organization in Spokane, Washington. Organization record, active in the CMS NPPES registry since March 6, 2007.
## Identity
- **NPI:** 1780714139 (Entity type: Organization)
- **Enumerated:** March 6, 2007
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** Sandra Conner, REVENUE CYCLE MANAGER
## Practice location
- **Address:** 530 S COWLEY ST, STE 100, Spokane, WA 99202-1316
- **Phone:** (509) 838-7028 · **Fax:** (509) 623-2177
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Washington, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Plastic and Reconstructive Surgery) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2024
- **Other identifiers:** Medicaid 7139520 (WA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1780714139) · Data from the CMS NPPES public registry.