Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kacey Sullivan, PA-C

Individual provider Medical Physician Assistant · NPI 1639659733

Kacey Sullivan, PA-C is a Physician Assistant in Spokane, Washington. Qualified in 2018, 8 years ago. Practices with Multicare Health System, a 2,302-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

910 W 5th Ave Ste 900
Spokane, WA 99204-2948
Phone: (509) 755-5500
Fax: (509) 744-1741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 830 Sw Mulvane St, Topeka, KS 66606-1654 — (785) 270-8625

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA61190646 (WA)

Record details

NPI number1639659733
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address910 W 5th Ave Ste 900, Spokane, WA 99204-2948

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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