Individual provider Active NPI

Erin Miller Schultz, PA-C

  • Medical Physician Assistant
  • Spokane, WA
National Provider Identifier
1134520232
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61185210 Issued in WA
Practice address
124 E Rowan Ave Ste 202
Spokane, WA 99207-1214
Phone
(509) 487-8000
Fax
(509) 487-6333
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA61185210 WA Primary
Medical Physician Assistant 363AM0700X PA2014-0056 NM

Addresses

Primary practice location

124 E Rowan Ave Ste 202
Spokane, WA 99207-1214

Mailing address

124 E Rowan Ave Ste 202
Spokane, WA 99207-1214
Phone (509) 487-8000

Other names 1

  • Erin Miller Rivera Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921000513 WA Practitioner - Physician Assistant 1951522176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spokane Spine Center PCGroup PAC ID 8921149758, 2 clinicians

Practice addresses (Care Compare)

124 E Rowan Ave
Suite 202
Spokane, WA 99207-1214
Phone (509) 487-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2014-0056NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Associates of Warren County PC Past Accepting new patients
Optometric Associates of Warren County PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1134520232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E ROWAN AVE STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071214",
            "telephone_number": "509-487-8000",
            "fax_number": "509-487-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E ROWAN AVE STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071214",
            "telephone_number": "509-487-8000",
            "fax_number": "509-487-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ERIN",
        "middle_name": "MILLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61185210",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2014-0056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "RIVERA",
            "middle_name": "MILLER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.