SPENCER STANGER (NP) – Family Nurse Practitioner, NPI 1780194696

SPENCER STANGER (NP) is a healthcare provider. based in Rigby, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 57005 (ID). The NPI Number for SPENCER STANGER (NP) is 1780194696

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER STANGER (NP)
NPI
1780194696
Phone
(208) 745-5021
Address
711 RIGBY LAKE DR STE 115
Enumeration Date
5 October 2017
Last Update Date
5 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085572700
Graduation Year
2017 (9 years ago)
PAC ID
4486913274
Group Practice PAC ID
4486562774
Professional Enrollment ID
I20180124002909
Address ID
ID834047407ID2325XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,814 NURSE PRACTITIONER in ID

Provider Addresses for SPENCER STANGER (NP)

  • 711 RIGBY LAKE DR STE 115

    RIGBY, ID 834425230

    Phone: (208) 745-5021

    Fax: (208) 745-5026

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,541.

Total Amount is formed as General ($1,541) + Research ($0) + Ownership ($0) = $1,541.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($470).

Total Amount

$1,541

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,541

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180124002909INurse PractitionerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes279203$0
J0696Injection, ceftriaxone sodium, per 250 mg14330$0
36415Insertion of needle into vein for collection of blood sample11386$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count7567$0
99214Established patient office or other outpatient visit, 30-39 minutes6954$0
View full utilization report →

Insurance plans in this area (ZIP 83442)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486562774View full group profile
NameSpecialtyState
Physician AssistantID
Family PracticeIL
P A T H O L O G YTX
-ID
Certified Registered Nurse Anesthetist (Crna)ID
Osteopathic Manipulative MedicineWY
Physician AssistantID
Physician AssistantID
Physical Medicine And RehabilitationID
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is SPENCER STANGER (NP) identified in CMS data?
CMS-hosted NPPES data lists SPENCER STANGER (NP) with NPI 1780194696.
Does the file indicate SPENCER STANGER (NP) is practicing under active NPI?
Directory data currently reports SPENCER STANGER (NP) as active.
What is SPENCER STANGER (NP) best known for clinically?
Directory data describes SPENCER STANGER (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SPENCER STANGER (NP) based?
SPENCER STANGER (NP) is tied to Rigby, Idaho in the data we show; additional addresses may exist on the full record.
Is the information about SPENCER STANGER (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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