Individual provider Active NPI

Yelena Rhinebah, P.A.

  • Physician Assistant
  • Colville, WA
National Provider Identifier
1619165222
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10005088 Issued in WA
Practice address
143 Garden Homes Dr
Colville, WA 99114-9229
Phone
(509) 684-3701
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011695 NY
Physician Assistant 363A00000X PA10005088 WA Primary

Addresses

Primary practice location

143 Garden Homes Dr
Colville, WA 99114-9229

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 684-3701

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
011695OtherNYLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ykhait535745@wm.providencedirect.org Direct

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
I20080825000366 WA Practitioner - Physician Assistant 8325127574 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

309 E Farwell Rd
Spokane, WA 99218-8207
Phone (509) 474-9838

702 S Park St
Deer Park, WA 99006-7025
Phone (509) 262-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10005088WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Jan 7, 2025 Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Jan 7, 2025 Accepting new patients
New Health Programs Association CurrentSince Oct 7, 2024 Accepting new patients
New Health Programs Association CurrentSince Oct 7, 2024 Accepting new patients

Locations

518 E Clay Ave
Chewelah, WA 99109
Phone (509) 935-6004

358 N Main St
Colville, WA 99114
Phone (509) 684-1440

3994 Colville Rd
Loon Lake, WA 99148
Phone (509) 233-8412

435 W Walnut St
Newport, WA 99156
Phone (509) 447-0888

5952 Blackstone Way
Nine Mile Falls, WA 99026
Phone (509) 464-3627

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

114 S Main St
Springdale, WA 99173
Phone (509) 258-4234

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Interoperability endpoints

  • Direct secure messaging: yelena.rhinebah.1@18424.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yelena.rhinebah.1@28594.direct.athenahealth.com

Organizations & group practices 6

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1619165222",
    "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": "509-684-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 GARDEN HOMES DR",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991149229",
            "telephone_number": "509-684-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Colville",
            "state": "WA",
            "postal_code": "991143354",
            "country_code": "US",
            "telephone_number": "509-684-3701",
            "fax_number": "509-684-5817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHINEBAH",
        "first_name": "YELENA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011695",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10005088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "011695",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ykhait535745@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 E Columbia Ave",
            "city": "Colville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991143354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

Verify at the official NPI Registry.