Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Andrew Nyberg

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154091940

Mark Andrew Nyberg is a Physician Assistant in Spokane, Washington. Graduated from University of Washington School of Medicine in 2022, 4 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
Trained at
University of Washington School of Medicine
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

820 S McClellan St Ste 118
Spokane, WA 99204-2446
Phone: (509) 388-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154091940
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Spokane