Individual provider Active NPI

Steven Tingey

  • Physician Assistant
  • Kettle Falls, WA
National Provider Identifier
1558748285
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60548101 Issued in WA
Practice address
840 S Meyers St
Kettle Falls, WA 99141-7005
Phone
(509) 685-7848
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 PA60548101 WA Primary

Addresses

Primary practice location

840 S Meyers St
Kettle Falls, WA 99141-7005

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stingey526188@wm.providencedirect.org

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
I20150608000091 WA Practitioner - Physician Assistant 9032430756 Reassigns benefits to 1 organization

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
Colville Medical Center PSGroup PAC ID 6709774086, 26 clinicians

Practice addresses (Care Compare)

1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701

840 S Meyers St
Kettle Falls, WA 99141-7005
Phone (509) 685-7848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60548101WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

100 W South Ave
Chewelah, WA 99109
Phone (509) 684-3701

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

143 Garden Homes Dr
Colville, WA 99114
Phone (509) 684-3701

982 E Columbia Ave
Colville, WA 99114
Phone (509) 684-2561

840 S Meyers St
Kettle Falls, WA 99141
Phone (509) 685-7848

Interoperability endpoints

  • Direct secure messaging: stingey526188@wm.providencedirect.org

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 1

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1558748285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S MEYERS ST",
            "city": "KETTLE FALLS",
            "state": "WA",
            "postal_code": "991417005",
            "telephone_number": "509-685-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGEY",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60548101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stingey526188@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "840 S Meyers St",
            "city": "Kettle Falls",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991417005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettle Falls, WA

Sources for this page

Verify at the official NPI Registry.