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Active NPI 1538646252 Individual Practitioner Female Practitioner

Phedra C Moran

Nurse Practitioner • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Phedra Moran is a certified Nurse Practitioner practicing in Spokane, WA. With approximately 8 years of clinical experience since completing medical education in 2018, Phedra Moran delivers high-quality medical care to the local community at 105 W 8TH AVE STE 122C.

Phedra Moran maintains professional affiliations with Inland Imaging Llc, Integra Imaging Ps and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial 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

105 W 8th Ave Ste 122c

Spokane, WA 992042302

Telephone 5094742894
Fax 5092277070
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 Nurse Practitioner in Spokane, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -2.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
191 Specialists

Practicing in Spokane, WA (2339 Statewide)

Telehealth Adoption Rate
13.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moran (8 Years) 8 Yrs
Spokane Specialty Average (10.3 Years) 10.3 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
28 24 $395.00 $105.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $511.00 $136.98
99221 Initial hospital inpatient care per day, typically 30 minutes
22 22 $289.00 $65.88
99213 Established patient office or other outpatient visit, typically 15 minutes
18 17 $278.00 $72.88

Medical Specialties & State Licenses

CMS Verified: 2021-05-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60884563

(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

Inland Imaging Llc

5715 N Lidgerwood St, Spokane, WA 992081225

Phone: 5097474455

Integra Imaging Ps

5715 N Lidgerwood St, Spokane, WA 992081225

Phone: 5093637745

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003374265
NPI 1003811712

Doctor of Philosophy (Ph.D.)

Dr. Robert Wales , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1003820275

Doctor of Medicine (M.D.), FACC

Kevin Kellogg , PA-C

Physician Assistant - Surgical

NPI 1003899493

Physician Assistant (Certified)

Breanna Bergeron , RD

Dietitian, Registered

NPI 1013040849

Registered Dietitian

NPI 1013086693

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 30, 2018

Registered at 105 W 8TH AVE STE 122C, SPOKANE, WA 992042302 (Tel: 5094742894)

📍
Updated Practice Location August 17, 2018

Registered at 101 W 8TH AVE, SPOKANE, WA 99204 (Tel: 5094742894)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2018

Nurse Practitioner (License #AP60884563 in WA)

NPI Profile Active July 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2018

Registered at 101 W 8TH AVE, SPOKANE, WA 992042307 (Tel: 5094742894)

📍
Updated Business Mailing Address July 25, 2018

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

👤
Provider Name / Credentials Updated July 25, 2018

Recorded as PHEDRA MORAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2018

Registered Nurse (License #RN60203082 in WA)

🟢
Initial NPI Registration & Enumeration July 25, 2018

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: 1538646252
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2018
Last Update: May 25, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

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.