Individual provider Active NPI

Bianca Vavrica, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1992352785
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61135861 Issued in WA
Practice address
1401 E Trent Ave Unit 200
Spokane, WA 99202-2902
Phone
(509) 747-9147
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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 PA61135861 WA Primary

Addresses

Primary practice location

1401 E Trent Ave Unit 200
Spokane, WA 99202-2902

Mailing address

1401 E Trent Ave # 200
Spokane, WA 99202-2902
Phone (509) 747-3147

Other names 1

  • Bianca Serafini Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bavarica1465961@wm.providencedirect.org Spokane Urology PLLC

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
I20210304002443 WA Practitioner - Physician Assistant 2961818521 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61135861WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Urology PLLC CurrentSince Feb 19, 2021 Accepting new patients
Spokane Urology PLLC CurrentSince Feb 19, 2021 Accepting new patients

Locations

1401 E Trent Ave
#200
Spokane, WA 99202
Phone (509) 747-3147

1401 E Trent Ave
Ste 200
Spokane, WA 99202
Phone (509) 747-3147

Interoperability endpoints

  • Direct secure messaging: bvavrica1465961@wm.providencedirect.org

Organizations & group practices 3

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spokane Urology PLLC 24 clinicians

Practice addresses (Care Compare)

1401 E Trent Ave
Suite 200
Spokane, WA 99202-2902
Phone (509) 747-3147

Hospital & facility affiliations

  • Deaconess Medical Center Hospital, Spokane, WA, CCN 500044
  • Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326
  • Providence St Joseph Hospital Hospital, Chewelah, WA, CCN 501309
  • Lincoln Hospital Hospital, Davenport, WA, CCN 501305
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1992352785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE # 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902",
            "telephone_number": "509-747-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E TRENT AVE UNIT 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022902",
            "telephone_number": "509-747-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVRICA",
        "first_name": "BIANCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61135861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bavarica1465961@wm.providencedirect.org",
            "affiliation": "Y",
            "affiliationName": "Spokane Urology PLLC",
            "address_1": "1401 E Trent Ave Unit 200",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992022902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "SERAFINI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.