Individual provider Active NPI

Michelle Stiles, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1386256790
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61302714 Issued in WA
Practice address
212 E Central Ave Ste 240
Spokane, WA 99208-6597
Phone
(509) 455-8820
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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 PA61302714 WA Primary

Addresses

Primary practice location

212 E Central Ave Ste 240
Spokane, WA 99208-6597

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-0001

Other practice location 1

1401 E Trent Ave # 200
Spokane, WA 99202-2902
Phone (509) 747-3147

Other practice location 2

12525 E Mission Ave Ste 202
Spokane Valley, WA 99216-1079
Phone (509) 747-3147

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
I20220909002718 WA Practitioner - Physician Assistant 0941685085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spokane Urology PLLCGroup PAC ID 5991603367, 24 clinicians

Practice addresses (Care Compare)

1401 E Trent Ave
Suite 200
Spokane, WA 99202-2902
Phone (509) 747-3147

Hospital & facility affiliations

  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Newport Community Hospital Hospital, Newport, WA, CCN 501310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61302714WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Urology PLLC CurrentSince Oct 24, 2022 Accepting new patients
Anesthesia Associates, PS Past Accepting new patients

Locations

1401 E Trent Ave
#200
Spokane, WA 99202
Phone (509) 747-3147

1401 E Trent Ave
Ste 200
Spokane, WA 99202
Phone (509) 747-3147

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1386256790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4114",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E CENTRAL AVE STE 240",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086597",
            "telephone_number": "509-455-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 E Trent Ave # 200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992022902",
            "country_code": "US",
            "telephone_number": "509-747-3147",
            "fax_number": "509-622-2704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12525 E Mission Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161079",
            "country_code": "US",
            "telephone_number": "509-747-3147",
            "fax_number": "509-622-2704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES",
        "first_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61302714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.