Individual provider Active NPI

Amanda Grecu, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1164896338
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60854611 Issued in WA
Practice address
510 S Cowley St Ste 200
Spokane, WA 99202-1332
Phone
(509) 456-8444
Fax
(509) 456-9227
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 60854611 WA Primary

Addresses

Primary practice location

510 S Cowley St Ste 200
Spokane, WA 99202-1332

Mailing address

510 S Cowley St Ste 200
Spokane, WA 99202-1332
Phone (509) 252-9191

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
I20190123003967 WA Practitioner - Physician Assistant 1254633480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of SpokaneGroup PAC ID 2567540503, 9 clinicians

Practice addresses (Care Compare)

510 S Cowley St
Suite 200
Spokane, WA 99202-1332
Phone (509) 456-8444

Merit-based Incentive Payment System (MIPS)

Final score
95.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
86.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60854611WAMDPhysician Assistant

Organizations & group practices 1

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1164896338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "509-252-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "509-456-8444",
            "fax_number": "509-456-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECU",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60854611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.