Family Medicine Liberty Lake
NPI 1790013175 · Family Medicine Physician · Liberty Lake, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Family Medicine Liberty Lake is a Family Medicine Physician organization in Liberty Lake, WA (NPI 1790013175).
Provider details
- NPI number
- 1790013175
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Ashley, Owner(509) 720-4050
- License
- MD00028821 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-11-24
- Last updated
- 2015-04-30
Frequently asked questions
- What is Family Medicine Liberty Lake's NPI number?
- Family Medicine Liberty Lake's National Provider Identifier (NPI) is 1790013175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Medicine Liberty Lake?
- Family Medicine Liberty Lake is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Family Medicine Liberty Lake located?
- Family Medicine Liberty Lake's practice location on file with NPPES is 2207 N Molter Rd, Liberty Lake, WA 99019-7570.
- What is Family Medicine Liberty Lake's phone number?
- The practice phone number listed in the NPPES registry for Family Medicine Liberty Lake is (509) 928-6700.
- Does Family Medicine Liberty Lake accept Medicare?
- Family Medicine Liberty Lake is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Family Medicine Liberty Lake?
- The authorized official listed on Family Medicine Liberty Lake's NPPES record is Susan Ashley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Medicine Liberty Lake's NPI active?
- Yes — Family Medicine Liberty Lake's NPI (1790013175) is active in the NPPES registry as of the last update on 2015-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.