Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

MS. Ennessa Ivy Gorkovchenko, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124532502

MS. Ennessa Ivy Gorkovchenko, PA-C is a Physician Assistant in Spokane, Washington. Qualified in 2018, 8 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Spokane, WA

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60901681 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124532502
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 21, 2017
Last updated in NPPESSeptember 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Providence Health and Services Washington

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 776 clinicians in the practice; 12 are shown here.

Other providers in Spokane