Individual provider Active NPI

Tareyn Lyn Gossler-Green, PA

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1689316796
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2420 E 29TH Ave Ste 100
Spokane, WA 99223-4868
Phone
(509) 724-4320
NPI assigned
Apr 9, 2022
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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 Primary
Physician Assistant 363A00000X PA-2364 ID

Addresses

Primary practice location

2420 E 29TH Ave Ste 100
Spokane, WA 99223-4868

Mailing address

2002 W Pullman Rd
Moscow, ID 83843-4012
Phone (208) 883-8372

Other practice location 1

1296 E Polston Ave Ste C
Post Falls, ID 83854-5217
Phone (208) 625-6700

Other names 1

  • Tareyn Green Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20230516002252 ID Practitioner - Physician Assistant 4688030711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

2121 W Ironwood Ctr Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-4680

2177 W Ironwood Ctr Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-6111

2199 W Ironwood Ctr Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Feb 8, 2023 Accepting new patients
Kootenai Health, Inc. Physician Assistant CurrentSince Feb 8, 2023 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients

Locations

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1296 E Polston Ave
Ste C
Post Falls, ID 83854
Phone (208) 625-6700

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1689316796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 W PULLMAN RD",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434012",
            "telephone_number": "208-883-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 E 29TH AVE STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234868",
            "telephone_number": "509-724-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1296 E Polston Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838545217",
            "country_code": "US",
            "telephone_number": "208-625-6700",
            "fax_number": "208-625-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSSLER-GREEN",
        "first_name": "TAREYN",
        "middle_name": "LYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAREYN",
            "last_name": "GREEN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.