Active NPI
Nicole Amber Mowbray, ARNP
- Nurse Practitioner
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61198262
- Practice address
- 15812 E Indiana Ave
Spokane Valley, WA 99216-1875 - Phone
- (509) 444-8888
- NPI assigned
- Jul 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61198262 | WA | Primary |
Addresses
Primary practice location
15812 E Indiana Ave
Spokane Valley, WA 99216-1875
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
WA
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
- Internal Medicine Physician
- Spokane Valley, WA
- NPI 1336902345
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1770972754
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
2214 E 29TH Ave
Spokane, WA 99203-3939
Phone (509) 755-5250
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Deaconess Medical Center
- Multicare Valley Hospital
- Tacoma General Allenmore Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210827002857 | WA | Practitioner - Nurse Practitioner | 5092110098 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Multicare Health System | Nurse Practitioner | Past | Accepting new patients |
Locations
1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300
803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300
1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604
5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990
611 N Iron Bridge Way
Spokane, WA 99202
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
2214 E 29th Ave
Spokane, WA 99203
Phone (509) 755-5250
914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393
5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590
3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900
15812 E Indiana Ave
Spokane Valley, WA 99216
1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204
15812 E Indiana Ave
Ste 200
Spokane Valley, WA 99216
Phone (509) 343-1116
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1043983448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15812 E INDIANA AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161875",
"telephone_number": "509-444-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOWBRAY",
"first_name": "NICOLE",
"middle_name": "AMBER",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61198262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.