Ryan David Agostinelli, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

9001 N Country Homes Blvd
Spokane, WA 99218-2072

Phone

(509) 744-1700

NPI assigned

Jul 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pioneer Family Medicine PLLCGroup PAC ID 8729402664, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assured Home Health Home health agency, Spokane Valley, WA, CCN 507044
• Providence at Home With Compassus Home Health, Inwa Home health agency, Spokane Valley, WA, CCN 507019
• Newport Community Hospital Hospital, Newport, WA, CCN 501310
• Providence St Joseph Hospital Hospital, Chewelah, WA, CCN 501309

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ryan.agostinelli.1@22454.direct.athenahealth.com

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.

• Pioneer Family Medicine, PLLC

  • Primary Care Clinic/Center
  • Deer Park, WA
  • NPI 1063037034
  Medicare reassignment Care Compare group
• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  • Pediatrics Physician
  • Tacoma, WA
  • NPI 1427601467
  NPD

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

• CP Spokane Wa HH, LLC

  • Home Health Agency
  • Spokane Valley, WA
  • NPI 1033931043
  Care Compare affiliation
• Northeast Washington Home Health, Inc.

  • Home Health Agency
  • Spokane Valley, WA
  • NPI 1336379015
  Care Compare affiliation
• Pend Oreille County Public Hospital District No 1

  • Critical Access Hospital
  • Newport, WA
  • NPI 1780778423
  Care Compare affiliation
• Providence Health & Services - Wa

  • Critical Access Hospital
  • Chewelah, WA
  • NPI 1750532321
  Care Compare affiliation

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1043763253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 N COUNTRY HOMES BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182072",
            "telephone_number": "509-744-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 N COUNTRY HOMES BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182072",
            "telephone_number": "509-744-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTINELLI",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahshid Aghasadeghi, ARNP
• Aging and Long Term Care of Eastern Washington
• Ingrid Mary Agnew, LICSW
• Lisa-Marie Lumabao Agni
• Sherri Lynn Agost
• Casidhe Anne Agrella, LF60816977
• Jesus Joseph Aguayo Jr.
• Alfredo Aguiar Jr., M.D.
• Brittany Re' Aguila, MS, SUDP, LMHC
• Hector Manuel Aguila Jr.

• Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.