Individual provider Active NPI

Rhaejon M Smilden, PA-C

  • Physician Assistant
  • Spokane Valley, WA
National Provider Identifier
1982673695
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004530 Issued in WA
Practice address
12410 E Sinto Ave
Suite 201
Spokane Valley, WA 99216-2280
Phone
(509) 344-2663
Fax
(509) 624-9179
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 PA10004530 WA Primary

Addresses

Primary practice location

12410 E Sinto Ave
Suite 201
Spokane Valley, WA 99216-2280

Mailing address

601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone (509) 344-2663

Other practice location 1

601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Phone (509) 344-8672

Other identifiers 6

IdentifierTypeStateIssuer
8375271MedicaidWA
P00272445OtherWARR MEDICARE
K6427OtherIDBLUE CROSS OF IDAHO
8940174OtherWACRIME VICTIMS
0202788OtherWADEPT OF LABOR & INDUSTRIE
2837SMOtherWAASURIS NW HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040205000811 WA Practitioner - Physician Assistant 5890688543 Reassigns benefits to 1 organization
I20250703000174 ID Practitioner - Physician Assistant 5890688543 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
Northwest Orthopaedic Specialists PSGroup PAC ID 7113811654, 83 clinicians

Practice addresses (Care Compare)

12410 E Sinto Ave
Suite 101
Spokane Valley, WA 99216-2258
Phone (509) 789-2955

12410 E Sinto Ave
Suite 201
Spokane Valley, WA 99216-2280
Phone (509) 928-4334

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (509) 252-3959

601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663

Hospital & facility affiliations

  • Multicare Valley Hospital Hospital, Spokane Valley, WA, CCN 500119
  • Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Nov 7, 2005 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Nov 7, 2005 Accepting new patients

Locations

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

212 E Central Ave
Ste 140
Spokane, WA 99208
Phone (509) 252-3959

601 W 5th Ave
Ste 500
Spokane, WA 99204
Phone (509) 344-2663

9310 N Division St
Spokane, WA 99218
Phone (509) 789-2836

601 W 5th Ave
Ste 100
Spokane, WA 99204
Phone (509) 343-3907

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

2710 E 57th Ave
Spokane, WA 99223
Phone (509) 252-2354

12410 E Sinto Ave
Ste 201
Spokane Valley, WA 99216
Phone (509) 928-4334

12410 E Sinto Ave
Ste 101
Spokane Valley, WA 99216
Phone (509) 789-2955

Interoperability endpoints

  • Direct secure messaging: rhaejon.smilden.1@16598.direct.athenahealth.com

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 3

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1982673695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH AVE STE 400",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042715",
            "telephone_number": "509-344-2663",
            "fax_number": "509-624-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 E SINTO AVE",
            "address_2": "SUITE 201",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162280",
            "telephone_number": "509-344-2663",
            "fax_number": "509-624-9179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 5th Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042756",
            "country_code": "US",
            "telephone_number": "509-344-8672",
            "fax_number": "509-747-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMILDEN",
        "first_name": "RHAEJON",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8375271",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00272445",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "K6427",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8940174",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "0202788",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NW HEALTH",
            "identifier": "2837SM",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.