REBECCA HADDAD (PA-C) – Family Medicine Physician, NPI 1003572041

REBECCA HADDAD (PA-C) is a healthcare provider. based in Spokane valley, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2271971 (ID). The NPI Number for REBECCA HADDAD (PA-C) is 1003572041

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA HADDAD (PA-C)
NPI
1003572041
Phone
(208) 819-2183
Address
17121 E 8th Ave
Enumeration Date
15 November 2021
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
6103294269
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20221121001708
Address ID
PA152133403PI3601XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

4,308 PHYSICIAN ASSISTANT in WA

Provider Addresses for REBECCA HADDAD (PA-C)

  • 17121 E 8th Ave

    Spokane Valley, WA 990168556

    Phone: (208) 819-2183

    Fax: (208) 209-6063

    Type: Location

  • 12657 N KENOSHA LN APT J303

    RATHDRUM, ID 838587477

    Phone: (412) 841-3114

    Type: Mailing

  • 2426 N MERRITT CREEK LOOP STE A

    COEUR D ALENE, ID 838144961

    Phone: (208) 819-2183

    Fax: (208) 209-6063

    Type: Location

  • 112 FORREST VALLEY CT

    NASHVILLE, TN 372095212

    Phone: (412) 841-3114

    Type: Mailing

  • 128 RAYMOND HIRSCH PKWY

    WHITE HOUSE, TN 371888193

    Phone: (715) 672-3027

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $518.

Total Amount is formed as General ($518) + Research ($0) + Ownership ($0) = $518.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: AngioDynamics, Inc. ($193).

Total Amount

$518

General + Research + Ownership

Payments

16

Total payment records

General Amount

$518

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221121001708IPhysician AssistantPATBD
I20251010001116IPhysician AssistantIDTBD
I20251015002902IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3523$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 99016)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
Nurse PractitionerPA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

How is REBECCA HADDAD (PA-C) identified in CMS data?
CMS-hosted NPPES data lists REBECCA HADDAD (PA-C) with NPI 1003572041.
Is REBECCA HADDAD (PA-C) still practicing?
REBECCA HADDAD (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes REBECCA HADDAD (PA-C)?
For research purposes, treat REBECCA HADDAD (PA-C) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for REBECCA HADDAD (PA-C)?
REBECCA HADDAD (PA-C)'s geographic hint is Spokane Valley, Washington in our summary view.
Is the information about REBECCA HADDAD (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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