Individual provider Active NPI

Vincint L. Sprung, P.A.

  • Surgical Physician Assistant
  • Spokane, WA
National Provider Identifier
1659689768
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA60572496 Issued in WA
Practice address
820 S McClellan St
Suite 300
Spokane, WA 99204-2457
Phone
(509) 838-7100
Fax
(509) 838-0721
NPI assigned
Sep 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA60572496 WA Primary

Addresses

Primary practice location

820 S McClellan St
Suite 300
Spokane, WA 99204-2457

Mailing address

PO Box 31001
Pasadena, CA 91110-4114
Phone (866) 747-2455

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
I20150721002017 WA Practitioner - Physician Assistant 8729275300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307

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

5633 N Lidgerwood St
Spokane, WA 99208-1224
Phone (509) 482-0111

820 S McClellan St
Suite 300
Spokane, WA 99204-2450
Phone (509) 838-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60572496WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Nov 15, 2015 Accepting new patients
Providence Health & Services Washington CurrentSince Nov 15, 2015 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Slocum Orthopedics, PC Surgical Past Accepting new patients

Locations

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

212 E Central Ave
Ste 440
Spokane, WA 99208
Phone (509) 252-1977

820 S McClellan St
Ste 300
Spokane, WA 99204
Phone (509) 464-7880

101 W 8th Ave
Ste 100
Spokane, WA 99204
Phone (509) 474-2880

16528 E Desmet Ct
Ste B2200
Spokane Valley, WA 99216
Phone (509) 944-8920

Organizations & group practices 4

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": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1659689768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104114",
            "telephone_number": "866-747-2455",
            "fax_number": "509-227-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MCCLELLAN ST",
            "address_2": "SUITE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042457",
            "telephone_number": "509-838-7100",
            "fax_number": "509-838-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUNG",
        "first_name": "VINCINT",
        "middle_name": "L.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60572496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.