Active NPI 1336592203 Individual Practitioner Female Practitioner

Terece Metzger , ARNP

Nurse Practitioner • Spokane Valley, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Terece Metzger, ARNP is a certified Nurse Practitioner practicing in Spokane Valley, WA. With approximately 10 years of clinical experience since completing medical education in 2016, Terece Metzger delivers high-quality medical care to the local community at 1212 N PINES RD.

Terece Metzger is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1212 N Pines Rd

Spokane Valley, WA 992064939

Telephone 5098938140

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Spokane Valley, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +1.9 yrs vs City Avg

City Avg: 8.1 Yrs

State Avg: 11.0 Yrs

Regional Practice Density

51 Specialists

Practicing in Spokane Valley, WA (2339 Statewide)

Telehealth Adoption Rate

29.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Metzger (10 Years) 10 Yrs

Spokane Valley Specialty Average (8.1 Years) 8.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	91	$391.00	$106.94
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$276.00	$77.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	149	$368.00	$106.46
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$260.00	$76.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	109	$341.00	$109.60
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$242.00	$78.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	94	$331.00	$111.71
99213 Established patient office or other outpatient visit, typically 15 minutes	62	62	$233.00	$79.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	114	$266.00	$94.59
99213 Established patient office or other outpatient visit, typically 15 minutes	74	73	$184.00	$64.69
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$186.00	$66.21
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$21.00	$7.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	161	$266.00	$93.15
99213 Established patient office or other outpatient visit, typically 15 minutes	66	66	$182.00	$63.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$265.00	$93.25
94640 Inhalation treatment for airway obstruction or sputum production	16	16	$44.00	$15.71
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$21.00	$7.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	172	$253.00	$90.77
99213 Established patient office or other outpatient visit, typically 15 minutes	71	64	$171.00	$62.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$254.00	$92.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	106	$252.00	$90.06
99213 Established patient office or other outpatient visit, typically 15 minutes	73	53	$171.00	$60.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	22	$339.00	$122.53
G0008 Administration of influenza virus vaccine	23	23	$26.09	$23.17
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	21	21	$26.67	$22.25
G0009 Administration of pneumococcal vaccine	21	21	$45.00	$25.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$273.00	$97.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$144.00	$95.62
99497 Advance care planning, first 30 minutes	11	11	$192.00	$68.86

Medical Specialties & State Licenses

CMS Verified: 2025-09-15

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60673673

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Providence Health And Services Washington

421 S Division St, Spokane, WA 992021331

Phone: 5094742100

Providence Health And Services Washington

16528 E Desmet Ct, Spokane, WA 992163522

Providence Health And Services Washington

551 E Hawthorne Rd, Spokane, WA 992181417

Phone: 5094892369

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Providence Health And Services Washington

421 S Division St, Spokane, WA 992021331

Phone: 5094736869

Practice Associates & Co-Workers

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

18 Associated Practitioners

Keisha Engley , RD

Dietitian, Registered

NPI 1104302736

Registered Dietitian

Alma Green , RN

Nurse Practitioner

NPI 1104639483

Registered Nurse

Lindsay Urso

Physician Assistant

NPI 1114345022

Katherine Reynolds , ARNP

Nurse Practitioner - Family

NPI 1114585346

Advanced Registered Nurse Practitioner

Dr. Clifford Hall , MD

Family Medicine

NPI 1184006389

Doctor of Medicine (M.D.)

Emily Hieftje

Physician Assistant

NPI 1194441758

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Business Mailing Address September 15, 2025

Registered at 1112 S ROTCHFORD DR, SPOKANE VALLEY, WA 990379225 (Tel: 5096717846)

👤

Provider Name / Credentials Updated September 15, 2025

Recorded as TERECE METZGER, ARNP

✅

NPI Profile Active January 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2017

Registered at 1212 N PINES RD, SPOKANE VALLEY, WA 992064939 (Tel: 5098938140)

📍

Updated Business Mailing Address January 27, 2017

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 5098938140)

👤

Provider Name / Credentials Updated January 27, 2017

Recorded as TERECE HAHN, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2017

Nurse Practitioner (License #AP60673673 in WA)

✅

NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2016

Registered at 1212 N PINES RD, SPOKANE VALLEY, WA 992064939 (Tel: 5094742072)

📍

Updated Business Mailing Address July 15, 2016

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 5094742072)

👤

Provider Name / Credentials Updated July 15, 2016

Recorded as TERECE HAHN, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Nurse Practitioner (License #AP60673673 in WA)

🟢

Initial NPI Registration & Enumeration July 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336592203

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 15, 2016

Last Update: September 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1112 S Rotchford Dr

Spokane Valley, WA 990379225

Phone: 5096717846

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.