Individual provider Active NPI

Wendy R. Foulkrod, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1720073752
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004537 Issued in WA
Practice address
820 S McClellan St
Suite 300
Spokane, WA 99204-2457
Phone
(509) 838-7100
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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 PA10004537 WA Primary

Addresses

Primary practice location

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

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Other identifiers 2

IdentifierTypeStateIssuer
8437980MedicaidWA
0202055OtherWAL&I

Other names 1

  • Wendy R Foulkrod Professional name

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
I20051019001134 WA Practitioner - Physician Assistant 1557387412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spokane Digestive Disease Center PSGroup PAC ID 3476447350, 39 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Lincoln Hospital Hospital, Davenport, WA, CCN 501305
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
  • Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326

Merit-based Incentive Payment System (MIPS)

Final score
80.09 of 100Reported as group
Quality
67.04
Promoting interoperability
88
Improvement activities
40
Cost
76.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Digestive Disease Center, P.S. CurrentSince Oct 1, 2022 Accepting new patients
Spokane Digestive Disease Center, P.S. Past Accepting new patients

Locations

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

105 W 8th Ave
Ste 6045
Spokane, WA 99204
Phone (509) 455-3676

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

Organizations & group practices 2

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 4

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1720073752",
    "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": "866-747-2455"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULKROD",
        "first_name": "WENDY",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8437980",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0202055",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "FOULKROD",
            "middle_name": "R",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.