SPOKANE UROLOGY PLLC
NPI 1912015439
Urology in Spokane, WA

Q: What is Spokane Urology PLLC's NPI number?

The NPI number for Spokane Urology PLLC is 1912015439. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider was formerly known as Spokane Urology, Ps.

Q: What is Spokane Urology PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since August 25, 2006

1401 E TRENT AVE STE 200, SPOKANE, WA 99202(509) 747-3147(509) 622-2704 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2024, Aug 31, 2023, Jul 18, 2023 and 3 more (6 updates tracked since 2019).

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About Spokane Urology Pllc NPPES

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

SPOKANE UROLOGY PLLC (NPI 1912015439), doing business as Spokane Urology, Ps, is a healthcare organization registered as an urology in Spokane, Washington and active in the NPI registry since August 2006. The organization maintains 2 additional practice locations and lists Raymond Lance, President, as its authorized official.

NPPES Registry Identity

NPI1912015439

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameSPOKANE UROLOGY PLLC

Location Address1401 E TRENT AVE STE 200Spokane, WA 99202-2902

Mailing AddressPo Box 738288Dallas, TX 75373-8288 · (509) 747-3147 · Fax (509) 622-2704

Phone(509) 747-3147

Fax(509) 622-2704

Organization SubpartNo

Authorized OfficialRaymond LancePresident · (509) 747-3147

Enumeration DateAugust 25, 2006

Last NPPES UpdateOctober 29, 20246 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1912015439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1401 E TRENT AVE STE 200, Spokane, WA 99202

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Other Names 1

Former Legal Business NameSpokane Urology, Ps

Secondary Practice Locations 2

Location 112525 E Mission Ave Ste 202Spokane Valley, WA 99216-1079 · Phone (509) 747-3147

Location 25633 N Lidgerwood StSpokane, WA 99208-1224 · Phone (509) 363-7554

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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)

Spokane Urology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 20 clinicians reassign Medicare billing to Spokane Urology PLLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 18 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Urology10

Diagnostic Radiology4

Nurse Practitioner4

Interventional Radiology1

Radiation Oncology1

Clinicians, nearest first (20)

Susan Cain, ARNP

Nurse Practitioner

NPI 1033227863

1401 E TRENT AVE STE 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Evan Carlos, MD

Urology

NPI 1063807477

1401 E TRENT AVE # 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Levi Deters, MD

Urology

NPI 1942427471

1401 E TRENT AVE STE 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Rachel Galazka, FNP

Nurse Practitioner

NPI 1730531021

1401 E TRENT AVE STE 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Raymond Lance, M.D.

Urology

NPI 1710930607

1401 E TRENT AVE STE 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Michael Maccini, M.D.

Urology

NPI 1861767121

1401 E TRENT AVE STE 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

David Mikkelsen, M.D.

Urology

NPI 1861500431

1401 E TRENT AVE STE 200
Spokane, WA 99202

(509) 747-3147

✔ PECOSSame address

Bradford Nelson, MD

Urology

NPI 1962466045

1401 E TRENT AVE # 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Shane Pearce, M.D.

Urology

NPI 1518253988

1401 E TRENT AVE STE 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Duncan Sloan, MD

Urology

NPI 1124482385

1401 E TRENT AVE # 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Bryan Voelzke, MD

Urology

NPI 1245355163

1401 E TRENT AVE STE 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Carl Walker, MD

Urology

NPI 1053301440

1401 E TRENT AVE # 200
Spokane, WA 99202

(509) 747-3147

✔ PECOS✔ Accepts MedicareSame address

Jason Vergnani, MD

Diagnostic Radiology

NPI 1053604090

801 S STEVENS ST
Spokane, WA 99204

(509) 363-7788

✔ PECOS✔ Accepts Medicare1.7 mi

Brian Gump, DO, MS

Diagnostic Radiology

NPI 1508251158

801 S STEVENS ST
Spokane, WA 99204

(509) 747-4455

✔ PECOS✔ Accepts Medicare1.7 mi

Douglas Murrey, M.D.

Diagnostic Radiology

NPI 1649470170

801 S STEVENS ST
Spokane, WA 99204

(509) 363-7788

✔ PECOS✔ Accepts Medicare1.7 mi

Jayson Brower, MD

Diagnostic Radiology

NPI 1346298361

801 S STEVENS ST
Spokane, WA 99204

(509) 747-4455

✔ PECOS✔ Accepts Medicare1.7 mi

Karie-Lynn Kelly, M.D.. F.R.C.P.C.

Radiation Oncology

NPI 1417027640

13424 E MISSION AVE
Spokane Valley, WA 99216

(509) 462-2273

✔ PECOS✔ Accepts Medicare7.7 mi

Kari Wallace, ARNP

Nurse Practitioner

NPI 1922709765

13424 E MISSION AVE
Spokane Valley, WA 99216

(509) 321-4980

✔ PECOS✔ Accepts Medicare7.7 mi

Brittany Bransford, APRN, FNP-C

Nurse Practitioner

NPI 1265990774

100 E IDAHO ST
Boise, ID 83712

(208) 381-2733

✔ PECOS✔ Accepts Medicare286 mi

Jordan Castle

Interventional Radiology

NPI 1891080156

3264 N EVERGREEN DR NE
Grand Rapids, MI 49525

(616) 363-7339

✔ PECOS✔ Accepts Medicare1,570 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 Spokane Urology PLLC's NPI number?

The NPI number for Spokane Urology PLLC is 1912015439. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider was formerly known as Spokane Urology, Ps.

Where is Spokane Urology PLLC located?

Spokane Urology PLLC is located at 1401 E Trent Ave Ste 200, Spokane, WA 99202. The listed phone number is (509) 747-3147.

What is Spokane Urology PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Spokane Urology PLLC enrolled in Medicare?

Yes. Spokane Urology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spokane Urology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 5 Medicare specialties reassign their Medicare billing to Spokane Urology 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 Urology (10), Diagnostic Radiology (4) and Nurse Practitioner (4). Of these, 12 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spokane Urology PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 35 other insurers list Spokane Urology 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 Spokane Urology PLLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.