FAMILY MEDICINE LIBERTY LAKE P C
NPI 1790013175
Family Medicine in Liberty Lake, WA
About Family Medicine Liberty Lake P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICINE LIBERTY LAKE P C (NPI 1790013175) is a healthcare organization registered as a family medicine in Liberty Lake, Washington and active in the NPI registry since November 2009. The organization maintains a secondary practice location in Post Falls and lists Susan Lynn Ashley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Medicine Liberty Lake P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Family Medicine Liberty Lake P C, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Liberty Lake, WA 99019
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 Family Medicine Liberty Lake P C's NPI number?
The NPI number for Family Medicine Liberty Lake P C is 1790013175. It was assigned to this organization in the NPPES registry on November 24, 2009.
Where is Family Medicine Liberty Lake P C located?
Family Medicine Liberty Lake P C is located at 1431 N Liberty Lake Rd Ste A, Liberty Lake, WA 99019. The listed phone number is (509) 928-6700.
What is Family Medicine Liberty Lake P C's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Medicine Liberty Lake P C enrolled in Medicare?
Yes. Family Medicine Liberty Lake P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medicine Liberty Lake P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Family Medicine Liberty Lake P C. 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. The largest specialties are Nurse Practitioner (6), Family Practice (2) and Certified Nurse Midwife (CNM) (1). Of these, 2 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 Family Medicine Liberty Lake P C accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Family Medicine Liberty Lake P C 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 Family Medicine Liberty Lake P C was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Family Medicine Liberty Lake P C · NPI 1790013175
Family Medicine organization in Liberty Lake, Washington. Organization record, active in the CMS NPPES registry since November 24, 2009.
## Identity
- **NPI:** 1790013175 (Entity type: Organization)
- **Enumerated:** November 24, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Susan Ashley, OWNER
## Practice location
- **Address:** 1431 N LIBERTY LAKE RD STE A, Liberty Lake, WA 99019-8522
- **Phone:** (509) 928-6700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (2), Certified Nurse Midwife (CNM) (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790013175) · Data from the CMS NPPES public registry.