Individual provider Active NPI

Michalina Kupsik, M.D.

  • Surgical Oncology Physician
  • Spokane, WA
National Provider Identifier
1043657422
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD61494369 Issued in WA
Practice address
601 S Sherman St
Spokane, WA 99202-1311
Phone
(509) 228-1000
Fax
(509) 252-9300
NPI assigned
May 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD61494369 WA
Surgical Oncology Physician 2086X0206X 6771249 ID
Student in an Organized Health Care Education/Training Program 390200000X KUPSIM153QE WA
Surgical Oncology Physician 2086X0206X MD61494369 WA Primary

Addresses

Primary practice location

601 S Sherman St
Spokane, WA 99202-1311

Mailing address

1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone (509) 228-1000

Other practice location 1

3024 New Bern Ave
Raleigh, NC 27610-1247
Phone (919) 350-7251

Other practice location 2

1440 E Mullan Ave
Post Falls, ID 83854-9064
Phone (208) 625-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkupsik265805@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WA, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191029001543 NC Practitioner - General Surgery 7113223371 Reassigns benefits to 1 organization
I20240108004025 WA Practitioner - Surgical Oncology 7113223371 Reassigns benefits to 1 organization
I20250522000258 ID Practitioner - Hematology/OncologyPractitioner - General Surgery 7113223371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians

Practice addresses (Care Compare)

601 S Sherman St
Spokane, WA 99202-1311
Phone (509) 228-1000

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy34
Melanoma (skin cancer) excision24
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61494369WAMDSurgery Physician
KUPSIM153QEWAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Northwest Centers P S Surgical Oncology CurrentSince Dec 20, 2023 Accepting new patients
Kootenai Health, Inc. CurrentSince Apr 8, 2025 Accepting new patients
Cancer Care Northwest Centers P S CurrentSince Dec 20, 2023 Accepting new patients
Wakemed Specialists Group, LLC Surgery Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 21, 2019 Accepting new patients
Kootenai Health, Inc. CurrentSince Apr 8, 2025 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Wakemed Specialists Group LLC Surgery CurrentSince Oct 21, 2019 Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1440 E Mullan Ave
Post Falls, ID 83854
Phone (208) 619-4100

210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460

300 Ashville Ave
Cary, NC 27518
Phone (919) 235-6570

601 Attain St
Fuquay Varina, NC 27526
Phone (919) 235-6571

2920 Highwoods Blvd
Raleigh, NC 27604

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

601 S Sherman St
Spokane, WA 99202
Phone (509) 434-1082

605 E Holland Ave
Ste 215
Spokane, WA 99218
Phone (509) 939-5656

1204 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 228-1041

Interoperability endpoints

  • Direct secure messaging: mkupsik265805@directhisp.wakemed.org
  • Direct secure messaging: mkupsik780416@direct.multicare.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1043657422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SHERMAN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021311",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3024 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101247",
            "country_code": "US",
            "telephone_number": "919-350-7251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 E Mullan Ave",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838549064",
            "country_code": "US",
            "telephone_number": "208-625-4900",
            "fax_number": "208-625-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPSIK",
        "first_name": "MICHALINA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-27",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61494369",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "ID",
            "license": "6771249",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "KUPSIM153QE",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "WA",
            "license": "MD61494369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkupsik265805@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "3024 New Bern Ave",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.