Stephanie Lucille Parnell, DO
Individual provider Active NPI Family Medicine Physician · Spokane, WA
NPI 1679150882 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1679150882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MED-PHYS-LIC-161588 (MT)
- Practice address
- 624 E Front Ave
Spokane, WA 99202-2139 - Phone
- (509) 626-9917
- Fax
- (509) 626-9917
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Pacific NW Un of HS, Col of Osteopathic Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Montana Medical Facilities Inc
Practice addresses (Care Compare)
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-1502
Hospital & facility affiliations
- Central Montana Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250925000661 | MT | Practitioner - Family Practice | 9739532813 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-161588 | MT | MD | Family Medicine Physician |
| OP61519931 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Montana Medical Facilities, Inc. | Family Medicine | Current |
Accepting new patients |
| Central Montana Medical Facilities, Inc | Current |
Accepting new patients | |
| Providence Health & Services - Wa | Past | Accepting new patients |
Locations
408 Wendell Ave
Lewistown, MT 59457
Phone (406) 535-1502
Interoperability endpoints
- sparnell1368013@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61519931 | WA | |
| Family Medicine Physician | 207Q00000X | MED-PHYS-LIC-161588 | MT | Yes |
Addresses
Primary practice location
624 E Front Ave
Spokane, WA 99202-2139
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 626-9900
Other practice location 1
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-1502
Other providers in Spokane, WA
- Sarah N Parks
- Parkside Physical Therapy Inc
- Parkside Physical Therapy Inc
- Parkway Village Spokane Senior Living Care
- Linda K Parman
- Racheal Meson Parori
- Valentina G Parpalov
- Tara Togstad Parque
- Kim A Parr
- Cameron Lynn Parratt
All providers in Spokane, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.