Aimee M. Gence , ARNP
Nurse Practitioner โข Spokane, WA
914 W Carlisle Ave
Spokane, WA 992053309
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 3, 2012; this date does not establish years in practice.
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Published CMS data list 201 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 99349 โ Residence visit for established patient with moderate level of medical decision making, per day: 43 service units.
- 99343 โ New patient home visit: 41 service units.
- 81002 โ Urinalysis, manual test: 34 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 9 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 14 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Albuterol Sulfate Hfa (Albuterol Sulfate) โ 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Spokane, WA (2024, 99 clinicians with data). Median for this group: 396. Middle half: 141 to 1,222.
Fewer Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 343 in 2017 to 201 in 2021.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2021.
Practice Location & Contact Primary Location
914 W Carlisle Ave
Spokane, WA 992053309
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Spokane, WA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Community Health Association Of Spokane. 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
2011
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $13,153 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021.
Paid by Medicare
About $8,967 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021.
30-day fills
21 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$529 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2012
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Aimee Gence 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.
Can order Medicare-covered services
CMS lists Aimee Gence 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Spokane and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Spokane, WA (2024, 99 clinicians with data). Median for this group: 396. Middle half: 141 to 1,222.
Fewer Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.
Part D drug cost
A lower Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Spokane, WA (2024, 99 clinicians with data). Median for this group: $10,897. Middle half: $1,399 to $119,301.
A lower Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: $11,694. Middle half: $1,114 to $110,470.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Aimee Gence are from 2021.
188 active clinicians are listed under Nurse Practitioner with a practice address in Spokane, WA (2,310 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spokane
13.8% of these 188 clinicians have the CMS telehealth indicator.
55.9% of these 188 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 41% from 343 in 2017 to 201 in 2021.
- 2017: 343
- 2018: 285
- 2019: 327
- 2020: 244
- 2021: 201
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Medicare-allowed amount
Medicare-allowed amount decreased 37% from $20,737 in 2017 to $13,153 in 2021.
- 2017: $20,737
- 2018: $20,454
- 2019: $22,994
- 2020: $17,793
- 2021: $13,153
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Paid by Medicare
Paid by Medicare decreased 36% from $14,052 in 2017 to $8,967 in 2021.
- 2017: $14,052
- 2018: $13,970
- 2019: $15,866
- 2020: $13,201
- 2021: $8,967
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 74% from 54 in 2020 to 14 in 2024.
- 2020: 54
- 2021: 21
- 2022: 12
- 2023: 19
- 2024: 14
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30-day fills
30-day fills decreased 62% from 54 in 2020 to 21 in 2024.
- 2020: 54
- 2021: 21
- 2022: 12
- 2023: 19
- 2024: 21
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Part D drug cost
Part D drug cost went from $638 in 2020 to $529 in 2024.
- 2020: $638
- 2021: $402
- 2022: $1,738
- 2023: $370
- 2024: $529
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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43 | 41 | $375.00 | $109.11 |
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99343
New patient home visit, typically 45 minutes
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41 | 41 | $375.00 | $107.38 |
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81002
Urinalysis, manual test
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34 | 33 | $7.00 | $3.48 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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16 | 16 | $331.00 | $111.16 |
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99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
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16 | 15 | $375.00 | $70.81 |
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36415
Insertion of needle into vein for collection of blood sample
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13 | 13 | $6.00 | $3.00 |
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80047
Blood test, basic group of blood chemicals (calcium, ionized)
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13 | 13 | $27.00 | $13.73 |
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85014
Red blood cell concentration measurement
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13 | 13 | $6.00 | $2.37 |
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99342
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes
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12 | 12 | $375.00 | $65.05 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Albuterol Sulfate Hfa | Albuterol Sulfate | 14 | 498 | $528.77 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-02-04NUCC Taxonomy Code: 363L00000X
(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.
NUCC Taxonomy Code: 363LF0000X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20120906000620
WA
7416105903
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
Community Health Association Of Spokane
1502 N Vercler Rd, Spokane Valley, WA 992161078
Phone: 5094448204
Community Health Association Of Spokane
1001 W 2nd Ave, Spokane, WA 992014503
Phone: 5098351206
Community Health Association Of Spokane
1512 N Vercler, Spokane Valley, WA 992161087
Phone: 5094448200
Community Health Association Of Spokane
3919 N Maple St, Spokane, WA 992051349
Phone: 5094448888
Community Health Association Of Spokane
15812 E Indiana Ave, Spokane Valley, WA 992161875
Phone: 5094448200
Secondary Practice Locations
910 W 5th Ave, Suite 1000
Spokane, WA 992042966
Phone: 5098382531
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Dentist
Nurse Practitioner
Nurse Practitioner - Psychiatric/Mental Health
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 914 W CARLISLE AVE, SPOKANE, WA 992053309 (Tel: 5094448200)
Registered at 611 N IRON BRIDGE WAY, SPOKANE, WA 992024932 (Tel: 5094448888)
Nurse Practitioner (license number reported to NPPES: WA AP60261495)
Nurse Practitioner (license number reported to NPPES: WA AP60261495)
NPI status registered as active in NPPES database
Registered at 910 W 5TH AVE, SUITE 1000, SPOKANE, WA 992042966 (Tel: 5098382531)
Registered at PO BOX 3649, SPOKANE, WA 992203649 (Tel: 5098382531)
Recorded as AIMEE GENCE, ARNP
Nurse Practitioner (license number reported to NPPES: WA AP60261495)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Spokane
- Beth Bremer, ARNP
- Kirstin Johnson, ARNP
- Rachel Quintela, NURSE PRACTITIONER
- Wendy Smith, ARNP
- Lorna Schumann, ARNP
- Lisa Giddings, APRN
Mailing Address
611 N Iron Bridge Way
Spokane, WA 992024932
Phone: 5094448888