Active NPI
Mara O'Shea Lins, PA-C
- Physician Assistant
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1123 N Evergreen Rd
Spokane Valley, WA 99216-1138 - Phone
- (509) 363-3100
- NPI assigned
- May 12, 2022
- Last updated
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA61307027 | Other | WA | PA 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
Enrollment records 1
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
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 100
- Quality
- 87.1
- Improvement activities
- 40
- Cost
- 74.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Daniel Dibble MD PC | Physician Assistant | Current | 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
- 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.
-
dba Spine Team Spokane
- Interventional Pain Medicine Physician
- Spokane Valley, WA
- NPI 1780754499
Physician Assistant
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.