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Active NPI 1124532502 Individual Practitioner Female Practitioner

Ennessa Ivy Gorkovchenko , PA-C

Physician Assistant • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ennessa Gorkovchenko, PA-C is a certified Physician Assistant practicing in Spokane, WA. With approximately 8 years of clinical experience since completing medical education in 2018, Ennessa Gorkovchenko delivers high-quality medical care to the local community at 217 W CATALDO AVE.

Ennessa Gorkovchenko is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

217 W Cataldo Ave

Spokane, WA 992012217

Telephone 5097476194
Fax 5092522837
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spokane, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -4.2 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
320 Specialists

Practicing in Spokane, WA (3774 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gorkovchenko (8 Years) 8 Yrs
Spokane Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
27 14 $139.00 $60.57

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60901681

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Department Of Health
PA60901681 (WA)

Hospital & Practice Group Affiliations

Providence Health And Services Washington

101 W 8th Ave, Spokane, WA 992042307

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003374265
Dr. Shane Zim , MD

Otolaryngology

NPI 1003928896

Doctor of Medicine (M.D.)

NPI 1023117421

Doctor of Medicine (M.D.)

Jennifer Willis , MPAS, PA-C

Physician Assistant - Surgical

NPI 1134540941

MPAS, Physician Assistant (Certified)

NPI 1174801328

Doctor of Medicine (M.D.)

NPI 1184696296

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 28, 2018

Registered at 217 W CATALDO AVE, SPOKANE, WA 992012217 (Tel: 5097476194)

📍
Updated Business Mailing Address September 28, 2018

Registered at PO BOX 2242, SPOKANE, WA 992102242 (Tel: 5097476194)

👤
Provider Name / Credentials Updated September 28, 2018

Recorded as ENNESSA GORKOVCHENKO, PA-C

NPI Profile Active November 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2017

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

📍
Updated Business Mailing Address November 21, 2017

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367

👤
Provider Name / Credentials Updated November 21, 2017

Recorded as ENNESSA GORKOVCHENKO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124532502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2017
Last Update: September 28, 2018
Sole Proprietor: No

Mailing Address

Po Box 2242

Spokane, WA 992102242

Phone: 5097476194

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.