Individual provider Active NPI

Marissa Leah Denenny

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1376434316
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP6165397 Issued in WA
Practice address
7916 E Longfellow Ave
Spokane, WA 99212-1712
Phone
(509) 209-1839
NPI assigned
Jul 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP6165397 WA Primary

Addresses

Primary practice location

7916 E Longfellow Ave
Spokane, WA 99212-1712

Mailing address

7916 E Longfellow Ave
Spokane, WA 99212-1712

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
I20260112003364 WA Practitioner - Nurse Practitioner 3779069414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Washington PLLCGroup PAC ID 2264320837, 73 clinicians

Practice addresses (Care Compare)

9631 N Nevada St
Suite 210
Spokane, WA 99218-1197
Phone (509) 319-2430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP6165397WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

309 E Farwell Rd
Ste 204
Spokane, WA 99218
Phone (509) 385-0600

9631 N Nevada St
Ste 210
Spokane, WA 99218
Phone (509) 319-2430

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4

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": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1376434316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 E LONGFELLOW AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 E LONGFELLOW AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121712",
            "telephone_number": "509-209-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENENNY",
        "first_name": "MARISSA",
        "middle_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP6165397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.