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Graylie Melinda Icard , PA

Physician Assistant β€’ Spokane Valley, WA

Active NPI 1992660047 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1123 N Evergreen Rd
Spokane Valley, WA 992161138

Call 5093633100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1123 N Evergreen Rd

Spokane Valley, WA 992161138

Telephone 5093633100
Fax 5093630300
Organization at the Same NPPES Address or Phone
T Daniel Dibble Md Pc Facility NPI 1780754499

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: T Daniel Dibble Md Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Graylie Icard has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Graylie Icard as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Spokane Valley and Washington

64 active clinicians are listed under Physician Assistant with a practice address in Spokane Valley, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Spokane Valley

3.1% of these 64 clinicians have the CMS telehealth indicator.

64.1% of these 64 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA70089056

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260305003430

Enrollment State Jurisdiction

WA

PECOS Control ID

6608358858

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

T Daniel Dibble Md Pc

1123 N Evergreen Rd, Spokane Valley, WA 992161138

Phone: 5093633100304

T Daniel Dibble Md Pc

510 E Holland Ave, Spokane, WA 992181206

Phone: 5093633100304

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. Gregory Crisp , MD

Anesthesiology - Pain Medicine

NPI 1649708744

Doctor of Medicine (M.D.)

Dr. Timothy Dibble , MD

Anesthesiology - Pain Medicine

NPI 1508936212

Doctor of Medicine (M.D.)

Emily Dietz , ARNP

Nurse Practitioner - Family

NPI 1023263464

Advanced Registered Nurse Practitioner

Kimberley Dotson , PA-C

Physician Assistant

NPI 1578876462

Physician Assistant (Certified)

Mara Lins , PA-C

Physician Assistant

NPI 1881330769

Physician Assistant (Certified)

Allison Luedke

Physician Assistant

NPI 1235859299

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2026

Physician Assistant (license number reported to NPPES: WA PA70089056)

πŸ“
Updated Practice Location February 12, 2026

Registered at 1123 N EVERGREEN RD, SPOKANE VALLEY, WA 992161138 (Tel: 5093633100)

πŸ“
Updated Business Mailing Address February 12, 2026

Registered at PO BOX 808, VERADALE, WA 990370808 (Tel: 5093633100)

βœ…
NPI Profile Active December 22, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 22, 2025

Registered at 6754 DANBROOK CT, FREDERICK, MD 217025804 (Tel: 2404572398)

πŸ“
Business Mailing Address (Initial Record) December 22, 2025

Registered at 6754 DANBROOK CT, FREDERICK, MD 217025804 (Tel: 2404572398)

πŸ‘€
Provider Name / Credentials (Initial Record) December 22, 2025

Recorded as GRAYLIE ICARD, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2025

Physician Assistant

🟒
Initial NPI Registration & Enumeration December 22, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992660047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2025
Last Update: April 23, 2026
Sole Proprietor: Yes

Other Physician Assistants in Spokane Valley

All Physician Assistants in Spokane Valley

Mailing Address

Po Box 808

Veradale, WA 990370808

Phone: 5093633100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.