Individual provider Active NPI

Denae Paul, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1578077194
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60784350 Issued in WA
Practice address
105 W 8TH Ave Ste 6010
Spokane, WA 99204-2341
Phone
(509) 838-5950
Fax
(509) 838-5961
NPI assigned
Nov 17, 2017
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 60784350 WA Primary

Addresses

Primary practice location

105 W 8TH Ave Ste 6010
Spokane, WA 99204-2341

Mailing address

105 W 8TH Ave Ste 6010
Spokane, WA 99204-2341
Phone (509) 838-5950

Other practice location 1

1100 W Mallon Ave
Spokane, WA 99260-2043
Phone (509) 477-2278

Other identifiers 2

IdentifierTypeStateIssuer
1148190OtherPANCE
60784350OtherWAPHYSICIAN ASSISTANT LICENSE

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
I20250716002429 WA Practitioner - Physician Assistant 4486169596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 W 8TH Ave
Spokane, WA 99204-2318
Phone (509) 838-5950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60784350WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Everhealth, LLC Past Accepting new patients
Spokane Digestive Disease Center, P.S. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1578077194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6010",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042341",
            "telephone_number": "509-838-5950",
            "fax_number": "509-838-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6010",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042341",
            "telephone_number": "509-838-5950",
            "fax_number": "509-838-5961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Mallon Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992602043",
            "country_code": "US",
            "telephone_number": "509-477-2278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "DENAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60784350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PANCE",
            "identifier": "1148190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "60784350",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.