Individual provider Active NPI

Trent I Lengl, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1144374232
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004284 Issued in WA
Practice address
820 S McClellan St
Suite 426
Spokane, WA 99204-2457
Phone
(509) 456-8444
Fax
(509) 455-9227
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10004284 WA Primary

Addresses

Primary practice location

820 S McClellan St
Suite 426
Spokane, WA 99204-2457

Mailing address

5503 N Timber Rim Dr
Spokane Valley, WA 99212-1668
Phone (509) 921-6804

Other identifiers 1

IdentifierTypeStateIssuer
1030170MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200326003523 OH Practitioner - Physician Assistant 5092791566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of North Central Ohio IncGroup PAC ID 7113058801, 11 clinicians

Practice addresses (Care Compare)

770 Balgreen Dr
Suite 201
Mansfield, OH 44906-4106
Phone (419) 756-1600

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Promoting interoperability
91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen William Doggett, M.D. PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: trent.lengl@qdp.emadirect.md
  • Direct secure messaging: tlengl@directaddress.net

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1144374232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 N TIMBER RIM DR",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992121668",
            "telephone_number": "509-921-6804",
            "fax_number": "509-455-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MCCLELLAN ST",
            "address_2": "SUITE 426",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042457",
            "telephone_number": "509-456-8444",
            "fax_number": "509-455-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENGL",
        "first_name": "TRENT",
        "middle_name": "I",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030170",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.