MR. PATRICK G SPENCER (FNP-C) – Nurse Practitioner, NPI 1407949530

MR. PATRICK G SPENCER (FNP-C) is a healthcare provider. based in White bear lake, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. R106819-3 (MN). The NPI Number for MR. PATRICK G SPENCER (FNP-C) is 1407949530

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. PATRICK G SPENCER (FNP-C)
NPI
1407949530
Phone
(651) 653-0062
Address
4465 WHITE BEAR PARKWAY
Enumeration Date
2 October 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516530062
Graduation Year
1996 (30 years ago)
PAC ID
4789619347
Group Practice PAC ID
7810954146
Professional Enrollment ID
I20051003000262
Address ID
MN551107623WH4465XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for MR. PATRICK G SPENCER (FNP-C)

  • White Bear Lake, Dellwood, White Bear Township, Ramsey County, Minnesota, United States

    WHITE BEAR LAKE, MN 55110

    Phone: (651) 653-0062

    Fax: (651) 653-0288

    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 33 Open Payments records for all available years, with a total value of $577.

Total Amount is formed as General ($577) + Research ($0) + Ownership ($0) = $577.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Phadia US Inc. ($121).

Total Amount

$577

General + Research + Ownership

Payments

33

Total payment records

General Amount

$577

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2005-10-03

PECOS data refreshed: 2026-05-27

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
I20051003000262INurse PractitionerMNTBD

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 minutes2319$0
99214Established patient office or other outpatient visit, 30-39 minutes2320$0
36415Insertion of needle into vein for collection of blood sample2017$0
96127Assessment of emotional or behavioral problems1813$0
99212Established patient office or other outpatient visit, 10-19 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 55110)

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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: 7810954146View full group profile
NameSpecialtyState
Internal MedicineMN
Family PracticeMN
Physician AssistantMN
-MN
Family PracticeMN
Family PracticeMN
Family PracticeMN

Reviews

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Frequently asked questions

What identifier follows MR. PATRICK G SPENCER (FNP-C) across health systems?
The NPI 1407949530 uniquely identifies MR. PATRICK G SPENCER (FNP-C) in U.S. healthcare data.
Should I treat MR. PATRICK G SPENCER (FNP-C) as an active provider?
Patients and plans typically see MR. PATRICK G SPENCER (FNP-C) as active in the national extract.
What type of care does MR. PATRICK G SPENCER (FNP-C) provide?
MR. PATRICK G SPENCER (FNP-C)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MR. PATRICK G SPENCER (FNP-C)?
The directory associates MR. PATRICK G SPENCER (FNP-C) with White Bear Lake, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export MR. PATRICK G SPENCER (FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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