Individual provider Active NPI

Mara O'Shea Lins, PA-C

  • Physician Assistant
  • Spokane Valley, WA
National Provider Identifier
1881330769
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1123 N Evergreen Rd
Spokane Valley, WA 99216-1138
Phone
(509) 363-3100
NPI assigned
May 12, 2022
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 Primary

Addresses

Primary practice location

1123 N Evergreen Rd
Spokane Valley, WA 99216-1138

Mailing address

PO Box 808
Veradale, WA 99037-0808
Phone (509) 363-3100

Other practice location 1

510 E Holland Ave
Spokane, WA 99218-1206
Phone (509) 363-3100

Other identifiers 1

IdentifierTypeStateIssuer
PA61307027OtherWAPA LICENSE

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
I20220725002761 WA Practitioner - Physician Assistant 4981085719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T Daniel Dibble MD PCGroup PAC ID 1254320922, 12 clinicians

Practice addresses (Care Compare)

1123 N Evergreen Rd
Spokane Valley, WA 99216-1138
Phone 5093633100304

510 E Holland Ave
Spokane, WA 99218-1206
Phone 5093633100304

Merit-based Incentive Payment System (MIPS)

Final score
87.31 of 100Reported as individual
Quality
87.1
Improvement activities
40
Cost
74.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T Daniel Dibble MD PC Physician Assistant CurrentSince Jun 13, 2022 Accepting new patients

Locations

510 E Holland Ave
Spokane, WA 99218
Phone (509) 363-3100

1123 N Evergreen Rd
Spokane Valley, WA 99216
Phone (509) 363-3100

Interoperability endpoints

  • Direct secure messaging: spineteamspokane.maralins@156405.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1881330769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "VERADALE",
            "state": "WA",
            "postal_code": "990370808",
            "telephone_number": "509-363-3100",
            "fax_number": "509-363-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N EVERGREEN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161138",
            "telephone_number": "509-363-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181206",
            "country_code": "US",
            "telephone_number": "509-363-3100",
            "fax_number": "509-363-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINS",
        "first_name": "MARA",
        "middle_name": "O'SHEA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA61307027",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.