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INCLUSA HEALTH AND WELLNESS PLLC
NPI 1891464905
Obstetrics & Gynecology - Obesity Medicine in Liberty Lake, WA

Active since September 10, 2021
23403 E MISSION AVE STE 231, LIBERTY LAKE, WA 99019(509) 367-4209 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2024, Sep 10, 2021 (2 updates tracked since 2021).

About Inclusa Health And Wellness Pllc NPPES

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

INCLUSA HEALTH AND WELLNESS PLLC (NPI 1891464905) is a healthcare organization registered as an obesity medicine in Liberty Lake, Washington and active in the NPI registry since September 2021. The organization lists Stephanie Persondek, Member, as its authorized official.

NPPES Registry Identity

NPI1891464905
Entity TypeOrganization
Primary Taxonomy207VB0002X
Legal Business NameINCLUSA HEALTH AND WELLNESS PLLC
Location Address23403 E MISSION AVE STE 231Liberty Lake, WA 99019-5087
Mailing Address21600 E Meriwether LnLiberty Lake, WA 99019-7629 · (208) 755-6731
Phone(509) 367-4209
Organization SubpartNo
Authorized OfficialStephanie PersondekMember · (208) 755-6731
Enumeration DateSeptember 10, 2021
Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1891464905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VB0002X
Definition
An obstetrics & gynecology physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
23403 E MISSION AVE STE 231, Liberty Lake, WA 99019
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Inclusa Health And Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Inclusa Health And Wellness PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Stephanie Persondek, DO
Obstetrics/Gynecology
NPI 1518288745
1415 N HOUK RD STE A
Spokane Valley, WA 99216
(509) 924-1990
✔ PECOS✔ Accepts Medicare6.9 mi
Hannah Hirshfield
Mental Health Counselor
NPI 1437810447
317 N PINES RD
Spokane Valley, WA 99206
(509) 838-4651
✔ PECOS✔ Accepts Medicare7.0 mi
Marissa Dejong, DPT
Physical Therapist in Private Practice
NPI 1366097222
8815 E MISSION AVE STE A
Spokane Valley, WA 99212
(509) 444-5678
✔ Accepts Medicare9.1 mi
Rachael Ferraro, D.O.
Internal Medicine
NPI 1902090350
11101 N AIRPORT RD
Hayden, ID 83835
(208) 777-5282
✔ PECOS✔ Accepts Medicare15 mi
Kyle Varner, MD
Hospitalist
NPI 1174961734
101 W 8TH AVE
Spokane, WA 99204
(509) 474-3260
✔ PECOS✔ Accepts Medicare15 mi
Elizabeth Hsu, MB BCH BAO
Internal Medicine
NPI 1922312479
12728 19TH AVE SE STE 300
Everett, WA 98208
(425) 420-1650
✔ PECOS✔ Accepts Medicare239 mi
Meghan Tierney, MD
Family Practice
NPI 1194142141
140 SW 146TH ST
Burien, WA 98166
(206) 901-2400
✔ PECOS✔ Accepts Medicare246 mi
Margarita Mercado Medina, M.D.
Obstetrics/Gynecology
NPI 1790929172
9212 18TH AVE SW
Seattle, WA 98106
(718) 496-3126
✔ PECOS✔ Accepts Medicare246 mi
Charlotte Ott, MD
Internal Medicine
NPI 1073538450
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare309 mi

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 Inclusa Health And Wellness PLLC's NPI number?

The NPI number for Inclusa Health And Wellness PLLC is 1891464905. It was assigned to this organization in the NPPES registry on September 10, 2021.

Where is Inclusa Health And Wellness PLLC located?

Inclusa Health And Wellness PLLC is located at 23403 E Mission Ave Ste 231, Liberty Lake, WA 99019. The listed phone number is (509) 367-4209.

What is Inclusa Health And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obesity Medicine, with taxonomy code 207VB0002X.

Is Inclusa Health And Wellness PLLC enrolled in Medicare?

Yes. Inclusa Health And Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inclusa Health And Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 6 Medicare specialties reassign their Medicare billing to Inclusa Health And Wellness 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. The largest specialties are Internal Medicine (3), Obstetrics/Gynecology (2) and Family Practice (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Inclusa Health And Wellness PLLC accept?

Health plans from Molina Healthcare and Premera Blue Cross Blue Shield of Alaska list Inclusa Health And Wellness 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 Inclusa Health And Wellness PLLC was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.