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Active NPI 1780613547 Individual Practitioner Female Practitioner

Letitia L Mccully , PA-C

Physician Assistant • Spokane Valley, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Letitia Mccully, PA-C is a certified Physician Assistant practicing in Spokane Valley, WA. With approximately 23 years of clinical experience since completing medical education in 2003, Letitia Mccully delivers high-quality medical care to the local community at 15812 E INDIANA AVE.

Letitia Mccully is affiliated with Community Health Association Of Spokane and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level, routine electrocardiogram (ecg) using at least 12 leads with tracing, testing for presence of drug, read by direct observation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15812 E Indiana Ave

Spokane Valley, WA 992161875

Telephone 5094448200
Fax 5094447806
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spokane Valley, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +12.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
64 Specialists

Practicing in Spokane Valley, WA (3774 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccully (23 Years) 23 Yrs
Spokane Valley Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
35 19 $59.03 $9.52

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10004606

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8388431 (WA)

Hospital & Practice Group Affiliations

Community Health Association Of Spokane

803 S Main St, Moscow, ID 838432695

Phone: 2088488300

Community Health Association Of Spokane

15812 E Indiana Ave, Spokane Valley, WA 992161875

Phone: 5094448200

Community Health Association Of Spokane

1001 W 2nd Ave, Spokane, WA 992014503

Phone: 5098351206

Community Health Association Of Spokane

15812 E Indiana Ave, Spokane Valley, WA 992161875

Phone: 5094448200

Community Health Association Of Spokane

1203 Idaho St, Lewiston, ID 835011940

Phone: 2088488300

Community Health Association Of Spokane

803 S Main St, Moscow, ID 838432695

Phone: 2088488300

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Tyler Pedersen , MD

Emergency Medicine

NPI 1003034828

Doctor of Medicine (M.D.)

Lila Erickson , MSPAS, PA-C

Physician Assistant

NPI 1003134867

MSPAS, Physician Assistant (Certified)

Jeffrey Hayward , PA-C

Physician Assistant

NPI 1003218389

Physician Assistant (Certified)

NPI 1003290941

Doctor of Pharmacy (Pharm.D.)

Anna Denton , FNP-BC

Nurse Practitioner - Family

NPI 1003331539

Family Nurse Practitioner (Board Certified)

Amy Hagins

Social Worker

NPI 1003381492

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location April 12, 2018

Registered at 15812 E INDIANA AVE, SPOKANE VALLEY, WA 992161875 (Tel: 5094448200)

NPI Profile Active July 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2011

Registered at 924 S PINES RD, SPOKANE VALLEY, WA 992065423 (Tel: 5094340313)

📍
Updated Business Mailing Address July 21, 2011

Registered at 203 N WASHINGTON ST, SPOKANE, WA 992010233 (Tel: 5094448888)

👤
Provider Name / Credentials Updated July 21, 2011

Recorded as LETITIA MCCULLY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2011

Physician Assistant (License #PA10004606 in WA)

🟢
Initial NPI Registration & Enumeration July 02, 2006

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: 1780613547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2006
Last Update: April 12, 2018
Sole Proprietor: Yes

Mailing Address

203 N Washington St

Spokane, WA 992010233

Phone: 5094448888

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.