Doctor profile · Federal record

Dr. Nicole Hannibal, DO

Family Medicine Physician (CMS: Internal Medicine) · Family Medicine Physician · Spokane Valley, WA

  • NPI 1639791718
  • Accepts Medicare
  • 6 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1215 N McDonald RD Ste 101
Spokane Valley, WA 992161557
(509) 598-7750
Mailing address
Po Box 5299, MS: 820-5-Pco
Tacoma, WA 984150299

Credentials & registration

NPPES · NUCC
NPI registered
May 2020 — 6 yrs on file
Profile last updated
July 20, 2023
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State licenses (2)
Washington #OP61314799 · Washington #OL61073038

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1639791718. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
174
Distinct HCPCS
5
Medicare allowed
$22,803
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 75 53 $127
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 31 31 $124
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 27 27 $272
G0009 Administration of pneumococcal vaccine 27 27 $30
99213 Established patient office or other outpatient visit, 20-29 minutes 14 14 $90

In context: peer comparison

Among 21 peers in Spokane Valley Family Medicine Physician, average services per provider: 73. This provider delivers 2.4× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
651
Patients
187
Total drug cost
$9,618
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 118 41 $1,899
Lisinopril Generic 67 18 $703
Levothyroxine Sodium Generic 56 16 $821
Metformin Hcl ER (Metformin Hcl) Brand 50 16 $521
Rosuvastatin Calcium Generic 45 26 $990
Losartan Potassium Generic 44 18 $644
Gabapentin Generic 36 11 $782
Omeprazole Generic 35 12 $600
Amlodipine Besylate Generic 34 16 $360
Sertraline Hcl Generic 34 13 $430

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Nicole Hannibal's medical specialty?
Dr. Nicole Hannibal practices Family Medicine Physician in Spokane Valley, WA.
Where does Dr. Nicole Hannibal practice?
Dr. Nicole Hannibal practices at 1215 N McDonald RD Ste 101, Spokane Valley, WA 992161557. Office phone: 5095987750.
What is Dr. Nicole Hannibal's NPI?
Dr. Nicole Hannibal's National Provider Identifier (NPI) is 1639791718, issued by NPPES.
Does Dr. Nicole Hannibal accept Medicare assignment?
Yes. Dr. Nicole Hannibal accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicole Hannibal commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS 90677). Source: CMS Medicare Physician & Other Practitioners file.